632.703 Reports by program which conducts
portion of its program in Nevada; visits to determine eligibility for approval;
approval required for nontraditional courses of instruction; faculty required
to be licensed in Nevada.

NAC 632.010Definitions. (NRS 632.120)As used
in this chapter, unless the context otherwise requires, the words and terms
defined in NAC 632.015 to 632.101,
inclusive, have the meanings ascribed to them in those sections.

1. Has specialized skill, knowledge and
experience obtained from an organized formal program of training; and

2. Is licensed by the Board and is
authorized in special conditions as set forth in NAC
632.254 to 632.295, inclusive, to provide
designated services in addition to those which a registered nurse is authorized
to perform.

NAC 632.024“Approved program” defined. (NRS 632.120)“Approved
program” means a training program for nursing assistants which complies with
the standards established by the Board.

(Added to NAC by Bd. of Nursing, eff. 3-26-90)

NAC 632.0245“Approved program for medication aides - certified” defined. (NRS 632.120, 632.292)“Approved
program for medication aides - certified” means a training program for
medication aides - certified that complies with the standards established by
the Board.

(Added to NAC by Bd. of Nursing by R112-11, eff. 2-15-2012)

NAC 632.026“Assessment” defined. (NRS 632.120)“Assessment”
means the systematic collection, analysis and interpretation of data that is
relevant to the status of the health of a patient to determine the actual or
potential needs of the patient regarding health care.

NAC 632.033“Charge nurse” defined. (NRS 632.120)“Charge
nurse” means a registered nurse who has basic skills in supervision and
leadership and has the authority to function as a manager of other nurses.

(Added to NAC by Bd. of Nursing, eff. 6-23-88)

NAC 632.037“Clinical nurse specialist” defined. (NRS 632.120)“Clinical
nurse specialist” means a registered nurse who has a graduate degree in a
selected clinical area of nursing.

(Added to NAC by Bd. of Nursing, eff. 8-18-88; A by
R112-11, 2-15-2012)

NAC 632.045“Continuing education” defined. (NRS 632.120)“Continuing
education” means participation in a learning experience offered in an organized
course which is designed to increase or improve a nurse’s knowledge, skill or
ability related to the authorized scope of practice of the nurse.

NAC 632.046“Delegable nursing duty” defined. (NRS 632.120)“Delegable
nursing duty” means a duty which is included in the standard policies and
procedures of an agency that employs a nurse and which leads to predictable
results in the observation and care of patients.

(Added to NAC by Bd. of Nursing, eff. 5-9-96)

NAC 632.047“Delegation” defined. (NRS 632.120)“Delegation”
means entrusting the performance of a delegable nursing duty to a person who is
qualified and competent to perform the duty.

NAC 632.048“Direct supervision” defined. (NRS 632.120)“Direct
supervision” means the direction given by a supervisor of nurses who is
periodically available at the site where care is provided to a patient or
available for immediate guidance.

(Added to NAC by Bd. of Nursing, eff. 6-23-88)

NAC 632.049“Direction” defined. (NRS 632.120)“Direction”
means monitoring and directing the nursing practice of another person,
including by means of verbal and written communication.

4. Works under the supervision of a
registered nurse who is at the site where care is provided.

(Added to NAC by Bd. of Nursing, eff. 8-18-88)

NAC 632.058“Home study” defined. (NRS 632.120)“Home
study” means instruction presented in a format that does not require monitoring
by the instructor or provider of continuing education, including, but not
limited to, written text, modules, audiotapes, videotapes and computer
programs.

(Added to NAC by Bd. of Nursing, eff. 3-4-92)

NAC 632.059“Immediate supervision” defined. (NRS 632.120)“Immediate
supervision” means the direction given by a supervisor of nurses who is
physically present at the site where care is provided to a patient and directly
observing or assisting in that care.

(Added to NAC by Bd. of Nursing, eff. 6-23-88; A by
R081-06, 6-28-2006)

NAC 632.060“Intravenous therapy” defined. (NRS 632.120)“Intravenous
therapy” means an infusion of fluids through a vein at a regulated rate of flow
as prescribed by a licensed physician, a licensed physician assistant, a
licensed dentist or a licensed podiatric physician for the purpose of replacing
fluid, maintaining fluid balance or adding medications or nutrients.

NAC 632.0605“Nurse midwife” defined. (NRS 632.120)“Nurse
midwife” means a registered professional nurse who has completed an organized
formal program of training in the area of pregnancy, childbirth, the postpartum
period, care of the newborn, family planning, and the gynecological and primary
health needs of women.

(Added to NAC by Bd. of Nursing by R081-06, eff. 6-28-2006;
A by R196-07, 4-17-2008)

NAC 632.061“Nurse practitioner” defined. (NRS 632.120)“Nurse
practitioner” means a registered nurse who has completed an organized formal
program of training for qualification to practice in a specialized area of
nursing.

NAC 632.0705“Physician assistant” defined. (NRS 632.120)“Physician
assistant” means a person who is licensed as a physician assistant by the Board
of Medical Examiners pursuant to chapter
630 of NRS.

(Added to NAC by Bd. of Nursing by R122-01, eff. 12-17-2001)

NAC 632.071“Prescription” defined. (NRS 632.120)“Prescription”
means authorization to administer medications or treatments issued by an
advanced practice registered nurse, a licensed physician, a licensed physician
assistant, a licensed dentist or a licensed podiatric physician in the form of
a written or oral order, a policy or procedure of a facility or a written
protocol developed by the prescribing practitioner.

(Added to NAC by Bd. of Nursing, eff. 11-19-93; A by
R122-01, 12-17-2001)

NAC 632.076“Qualified” defined. (NRS 632.120)“Qualified”
means that a person possesses the appropriate authorization and training to
perform the duties assigned to him or her pursuant to chapter 632 of NRS and this chapter.

(Added to NAC by Bd. of Nursing, eff. 5-9-96)

NAC 632.083“Social media” defined. (NRS 632.120)“Social
media” means any form of electronic communication through which a person can
create a community on the Internet to share information, ideas, personal
messages and other content.

(Added to NAC by Bd. of Nursing by R112-11, eff. 2-15-2012)

NAC 632.085“Superimpose” defined. (NRS 632.120)“Superimpose”
means to connect a container of fluid to tubing through which intravenous fluid
from another container has been administered.

[Bd. of Nursing, § V subsec. A par. 3, eff. 8-21-81]

NAC 632.087“Supervision” defined. (NRS 632.120)“Supervision”
means direction by a qualified nurse for the accomplishment of a nursing task
or activity, including initial direction and periodic inspection of the actual
accomplishment of the task or activity.

(Added to NAC by Bd. of Nursing, eff. 5-9-96)

NAC 632.091“To piggyback” defined. (NRS 632.120)“To
piggyback” means to connect a secondary intravenous line to the upper or lower
Y-port of a primary intravenous line for intermittent or simultaneous drug
infusion.

(Added to NAC by Bd. of Nursing, eff. 1-24-92)

NAC 632.096“Trainee” defined. (NRS 632.120)“Trainee”
means a person admitted to an approved program or an approved program for
medication aides - certified, as applicable.

(Added to NAC by Bd. of Nursing, eff. 3-26-90; A by
R112-11, 2-15-2012)

NAC 632.101“Write” and “written” defined. (NRS 632.120)“Write”
or “written” in reference to an examination means to take the examination by
paper and pencil, computer, or any other electronic device the Board deems
appropriate.

(Added to NAC by Bd. of Nursing, eff. 11-19-93)

NAC 632.105“In the process of obtaining accreditation” defined for chapter 632 of NRS. (NRS 632.120)As used
in chapter 632 of NRS, the term “in
the process of obtaining accreditation” means an approved school of practical
nursing or an approved school of professional nursing that has applied for
accreditation from a nationally recognized association or an agency authorized
by law to accredit such schools which has been approved by the Board.

1. The Board hereby adopts by reference the Cumulative
Index to Nursing and Allied Health Literature, Volume 50, 2005 Edition. A
copy of this publication may be obtained from CINAHL Information Systems,
Customer Service Department, 1509 Wilson Terrace, Glendale, California 91206,
by telephone at (818) 409-8005, extension 5341, or at the Internet address http://www.cinahl.com/,
at a price of $385.

2. If the publication adopted by reference
in subsection 1 is revised, the Board will review the revision to determine its
suitability for this State. If the Board determines that the revision is not
suitable for this State, the Board will hold a public hearing to review its
determination and give notice of that hearing within 90 days after the date of
the publication of the revision. If, after the hearing, the Board does not
revise its determination, the Board will give notice that the revision is not
suitable for this State within 90 days after the hearing. If the Board does not
give such notice, the revision becomes part of the publication adopted by
reference pursuant to subsection 1.

1. In addition to those requirements
contained in chapter 632 of NRS, an
applicant for a license to practice as a registered nurse must:

(a) Have graduated from a nursing program approved
by the Board.

(b) Have successfully completed courses on the
theory of and have clinical experience in medical-surgical nursing, maternal
and child nursing and psychiatric nursing if the applicant graduated from an
accredited school of professional nursing after January 1, 1952.

(c) On or after July 1, 1982, pass the examination
for licensure approved by the Board.

2. An applicant for a license to practice as
a licensed practical nurse must:

(a) Have graduated from high school or passed the
general educational development test.

(b) Have graduated or received a certificate of
completion from a program for registered nurses or practical nurses approved by
the Board.

(c) Have successfully completed a course of study
on the theory of and have clinical practice in medical-surgical nursing,
maternal and child health nursing and principles of mental health if the
applicant graduated from an accredited school of practical or vocational
nursing after January 1, 1952.

1. An interim permit may be issued to the
applicant pursuant to NRS 632.305
to practice as a registered nurse or licensed practical nurse under the direct
supervision of a registered nurse for not more than 3 months after the date on
which the interim permit is issued.

2. If it is determined that satisfactory
proof of an applicant’s ability to read, write and speak English as required by
NAC 632.180 is not evident, the Board will not
issue an interim permit to the applicant.

1. An applicant for licensing as a
registered nurse or as a practical nurse may write the examination four times.

2. If the applicant is unsuccessful on the
second attempt, before he or she may write the examination for the third time,
the applicant must present to the Board a plan of study, acceptable to the
Board, for preparation to write the examination.

3. If the applicant is unsuccessful on the
third attempt, the applicant must repeat courses in nursing theory in a nursing
program approved by the Board before he or she may write the examination for
the fourth time.

NAC 632.166Limitation on taking competency evaluation test. (NRS 632.120, 632.2858, 632.292)Each
trainee who graduates from an approved program or an approved program for
medication aides - certified may take a competency evaluation test not more
than three times.

(Added to NAC by Bd. of Nursing, eff. 3-26-90; A 7-16-92;
R112-11, 2-15-2012)

1. The Board will notify the testing service
administering the test of those persons who are eligible to take a competency
evaluation test.

2. The applicant must apply to the testing
service by the required deadline and submit the appropriate fee.

(Added to NAC by Bd. of Nursing, eff. 3-26-90; A 11-19-93;
R112-11, 2-15-2012)

NAC 632.169Competency evaluation test: Failure of one or both components. (NRS 632.120, 632.2858)

1. A trainee who fails one component of a
competency evaluation test is required to retake only that component.

2. A trainee who fails one or both
components of a competency evaluation test three times must repeat an approved
program. Upon the successful completion of that program, the trainee may
reapply to take the competency evaluation test.

(a) Have completed a course of study in an
accredited school of professional nursing. If the applicant graduated on or
after January 1, 1952, he or she must have theory and clinical experience in
medical-surgical nursing, maternal and child health nursing, and mental health
and psychiatric nursing.

(b) Submit to the Board:

(1) A completed application;

(2) A complete set of his or her fingerprints
or two completed fingerprint cards; and

(3) The appropriate fee.

2. An applicant for a license to practice as
a licensed practical nurse must:

(a) Have graduated from high school or passed the
general educational development test.

(b) Have completed a course of study in an
accredited school of practical or vocational nursing. If the applicant
graduated on or after January 1, 1952, he or she must have theory and clinical
experience in medical-surgical nursing and maternal-child nursing, including mental
health concepts.

(c) Hold a current license in good standing from
another state or country which was issued by a recognized legal agency.

(d) Submit to the Board:

(1) A completed application;

(2) A complete set of his or her fingerprints
or two completed fingerprint cards; and

(3) The appropriate fee.

3. An applicant for certification to
practice as a nursing assistant or a medication aide - certified must:

(a) Submit to the Board a completed application
accompanied by a complete set of his or her fingerprints or two completed
fingerprint cards; and

(b) Request and confirm receipt by the Board of
verification from the appropriate agency that he or she holds a current
certificate to practice as a nursing assistant or a medication aide -
certified, as applicable.

NAC 632.173Additional requirements for obtaining license by endorsement. (NRS 632.120, 632.160, 632.280)In
addition to complying with the requirements set forth in NAC
632.170, any person who has not practiced within the immediately preceding
5 years, but who has passed an examination in another jurisdiction, and wishes
to obtain a license by endorsement must submit proof to the Board that:

1. The person has passed the National
Council Licensure Examination within the immediately preceding 5 years; or

2. The person has successfully completed a
review course within the immediately preceding 5 years which has been approved
by the Board.

(Added to NAC by Bd. of Nursing, eff. 6-21-94; A by
R112-11, 2-15-2012)

1. A temporary license or certificate may be
issued upon application for a period of 6 months.

2. A nurse, nursing assistant or medication
aide - certified seeking renewal of his or her license or certificate may be
issued a temporary license or certificate if the nurse, nursing assistant or
medication aide - certified needs additional time to provide the Board with
evidence that he or she is of good moral character and is free from physical or
mental disability which would impair or interfere with his or her ability to
perform in his or her area of practice safely and competently.

3. If it is determined that satisfactory
proof of an applicant’s ability to read, write and speak English as required by
NAC 632.180 is not evident, no temporary license or
certificate will be issued.

1. After an application for a license is
filed by a graduate of a program outside of the United States who holds a
license from another jurisdiction in the United States, the applicant’s
credentials will be reviewed by the Board and eligibility for licensure
established. Translations must be paid for by the applicant. The ability to
read, write and speak English must be shown by proof that the applicant has
satisfactorily passed:

(a) The State Board Test Pool Examination;

(b) The National Council Licensing Examination;

(c) The examination given by the Commission on
Graduates of Foreign Nursing Schools; or

(d) Another test of competency in English
acceptable to the Board.

2. All graduates of programs in professional
nursing outside of the United States who graduated on or after January 1, 1952,
must have completed courses of study in the theory and clinical practice in
medical nursing, surgical nursing, obstetric nursing, nursing of children and
psychiatric nursing and must pass a licensing test in each of these areas.
Deficiencies may be removed by participation in an accredited program in
nursing or as determined by the Board.

3. All graduates of programs in practical
nursing outside of the United States who graduated on or after January 1, 1952,
must have completed courses of study in the theory and clinical practice in
medical nursing, surgical nursing, obstetric nursing, nursing of children and
principles of mental health. Deficiencies may be removed by participation in an
accredited program in nursing or as determined by the Board.

NAC 632.185Lapse of application for license or certificate. (NRS 632.120)An
application for a permanent license or certificate which is not completed
within 1 year automatically lapses and the fees are forfeited.

1. A member of the Board’s staff will issue
a license or certificate or renew a license or certificate based on the
criteria determined by the Board. Any member of the Board’s staff may submit a
candidate’s credentials to the Board to determine the candidate’s eligibility
for a license or certificate or renewal of a license or certificate. The
applicant must demonstrate that his or her qualifications satisfy the criteria
of the Board.

2. If an applicant fails to demonstrate that
his or her qualifications satisfy the criteria for licensure or certification,
the Board may deny the application. A member of the Board’s staff will give any
applicant for a license or certificate whose application is denied written
notice stating:

(a) That the applicant has failed to qualify to be
examined, licensed, or certificated;

(b) The reason for disqualification; and

(c) That the applicant may appeal the denial to the
Board.

3. A hearing will be granted to an applicant
who, within 30 days after the notice required in subsection 2 is mailed to him
or her, requests a hearing in a certified letter addressed to the Board.

4. When a license or certificate is not
renewed by a member of the Board’s staff, the licensee or holder of the
certificate may appeal to the Board in writing within 30 days and request a
hearing at the next regularly scheduled meeting of the Board.

For
a registered nurse............................................................................. $25.00

For
a licensed practical nurse................................................................... 25.00

For
a nursing assistant or medication aide - certified.............................. 25.00

6. Survey
and evaluation of school of practical nursing, or school and course of
professional nursing.................................................................... $150.00

per
day,

per
consultant

7. Miscellaneous:

For duplicating the records of the
Board.................................. $0.60 per page

For taking disciplinary action
against a licensee........................... Actual costs, including the

costs
incurred which are related to any assistance received from the Office of
the Attorney General.

For monitoring a licensee who has been
placed on probation....... Actual costs

For submission of fingerprints of a person to
the Department of Public Safety for review and forwarding to the Federal
Bureau of Investigation for a report of the person’s criminal history...................... Actual
costs as specified by

the Department of Public Safety and the Federal Bureau of
Investigation

1. Each licensee or holder of a certificate
who wishes to renew his or her license or certificate must submit an
application for renewal of the license or certificate to the Board before the
expiration of the license or certificate. The application for renewal must be
received by the Board on or before the end of the business day on which the
authorization to practice expires.

2. The Board will find that the licensee or
holder of the certificate has made sufficient application for renewal of the
authorization to practice and will renew that person’s license or certificate
if:

(a) The application for renewal is:

(1) Truthful, accurate and complete, and made
on the form supplied by the Board.

(2) Accompanied by payment of the required
fee. If the fee is paid in a form other than cash, it must be made on an
account with a sufficient amount of money for payment of the instrument or by a
valid debit or credit card.

(3) Accompanied by proof that the requirement
of continuing education is met.

(4) Accompanied by a complete set of the
applicant’s fingerprints or two completed fingerprint cards, if so required by
the Board.

(5) Accompanied by proof that the licensee has
satisfied the requirements of subsection 4, if the application is for renewal
of a license and the licensee has not practiced nursing during the immediately
preceding 5-year period.

(6) Accompanied by the attestation required
pursuant to NAC 632.193, if the application is for
the renewal of a certificate to practice as a nursing assistant or medication
aide - certified.

(b) The applicant attests that he or she committed
no act which could subject his or her application to denial nor developed any
condition which may interfere with his or her ability to practice in a safe and
effective manner.

3. If an application does not meet the
requirements of subsection 2, the staff of the Board will not renew the license
or certificate. If the applicant makes an application to appear before the
Board, the staff may issue a temporary license or certificate which remains
valid for not more than 6 months after the date on which the temporary license
or certificate was issued. If the license or certificate is not renewed because
the applicant paid the required fee with an instrument written on an account
with an insufficient amount of money for payment of the instrument, the staff
may require the payment of a late fee and a fee to cover the administrative
cost of handling the instrument.

4. An applicant for renewal of a license who
has not practiced nursing during the immediately preceding 5-year period must
complete a course or program approved by the Board if the applicant has otherwise
satisfied the requirements for renewal set forth in this chapter and chapter 632 of NRS. The Board may issue
to the applicant a temporary license for not more than 6 months after the date
on which it was issued for the sole purpose of completing the course or program
in which the applicant is enrolled. Upon submission of evidence of completion
of the course or program, the Board will issue to the applicant a permanent
license if he or she has satisfied the requirements of subsection 2.

5. An original license or certificate is
valid for the period from the date of issuance to the licensee’s or certificate
holder’s second birthday after issuance. Thereafter, each license or
certificate will expire biennially on the licensee’s or certificate holder’s
birthday. In a leap year the license or certificate of a licensee or
certificate holder born on February 29 expires on February 28.

1. To renew his or her certificate, a
nursing assistant must submit to the Board an attestation, on a form provided
by the Board, attesting that he or she has completed:

(a) Twenty-four hours of continuing training in the
immediately preceding 2 years; and

(b) At least 40 hours of employment as a nursing
assistant under the direct supervision of a registered nurse or licensed
practical nurse during the 2 years immediately preceding the date of the
renewal of the certificate.

2. To renew his or her certificate, a
medication aide - certified must submit to the Board an attestation, on a form
provided by the Board, attesting that he or she has completed:

(a) Twenty-four hours of continuing training in the
immediately preceding 2 years; and

(b) At least 200 hours of employment as a
medication aide - certified under the direct supervision of an advanced
practice registered nurse or a registered nurse during the 2 years immediately
preceding the date of the renewal of the certificate.

3. The certificate of completion must
include:

(a) The name of the participant;

(b) The name of the training program;

(c) The number of hours of the training program;

(d) The name and signature of the instructor who
taught the training program; and

(e) The date and location of the training program.

4. To be satisfactory to the Board a
training program must relate to standards of care in nursing and must consist
of one of the following:

(a) Training in the facility in which the nursing
assistant or medication aide - certified works;

(b) An academic study or all of the courses
required to obtain a license to practice as a registered nurse or a licensed
practical nurse, if a nursing assistant or medication aide - certified is
pursuing such a license, or both;

(c) A workshop conducted by a provider of
continuing education that has been approved by the Board; or

5. A medical facility, educational
institution or other organization that offers a training program must keep a
record of the information required pursuant to subsection 3 for at least 4
years.

6. The Board will perform random audits of
nursing assistants or medication aides - certified for compliance with the
requirement for supervised employment set forth in paragraph (b) of subsection
1 or paragraph (b) of subsection 2, as applicable. If audited by the Board, a
nursing assistant or medication aide - certified must prove that he or she has
complied with the requirement for supervised employment set forth in paragraph
(b) of subsection 1 or paragraph (b) of subsection 2, as applicable, by
submitting to the Board a letter written by the employer of the nursing
assistant or medication aide - certified on the stationery of the employer or
on a form prescribed by the Board and must include in the letter or on the
form:

(a) The name of the nursing assistant or medication
aide - certified;

(b) The name of the employer;

(c) A statement indicating that, since his or her
last renewal by the Board, the:

(1) Nursing assistant provided at least 40
hours of nursing services or services related to the scope of practice of a
nursing assistant for monetary compensation under the direct supervision of a
registered nurse or licensed practical nurse; or

(2) Medication aide - certified provided at
least 200 hours of nursing services or services related to the scope of
practice of a medication aide - certified for monetary compensation under the
direct supervision of an advanced practice registered nurse or a registered
nurse; and

(d) Any other information the Board may require for
the renewal of the certificate.

NAC 632.200Change of name. (NRS 632.120)The name
of a registered nurse, certified nursing assistant, medication aide - certified
or an applicant for registration will be changed on the records of the Board if
the request is made on a form provided by the Board giving the required
information.

1. Each licensee or holder of a certificate
shall file with the Board his or her current residential address.

2. A licensee or holder of a certificate
shall notify the Board of any change in his or her residential address within
30 days after the change.

3. If the Board is required by law or the
provisions of this chapter to deliver any notice by mail to a licensee or holder
of a certificate, the notice shall be deemed validly given if it is mailed to
the last address of the licensee or holder of a certificate which was filed
with the Board.

(Added to NAC by Bd. of Nursing, eff. 2-6-90)

GENERAL STANDARDS FOR PRACTICE OF NURSING

Advisory Committees

NAC 632.210Committee to advise Board on protection of public through safe
practice of nursing and on Alternative Program for Chemically Dependent Nurses. (NRS 632.073, 632.120)

1. The Board will appoint an advisory
committee to advise and report to the Board on matters related to:

(a) The protection of the public through the safe
practice of nursing by any person licensed or certified pursuant to the
provisions of this chapter or chapter 632
of NRS, including, without limitation, a person who has practiced nursing
while, with or without good cause, the person’s physical, mental or emotional
condition impaired his or her ability to act in a manner consistent with
established or customary standards of nursing.

(b) The Alternative Program for Chemically
Dependent Nurses established by the Board to serve as an alternative to
disciplinary action of persons who are licensed or certified pursuant to the
provisions of this chapter or chapter 632
of NRS and who have a substance use disorder. The advisory committee shall
evaluate and monitor any licensee or holder of a certificate who is a
participant in the Alternative Program for Chemically Dependent Nurses.

2. The advisory committee will consist of at
least six persons who are knowledgeable concerning any conditions, diagnoses or
addictions that may negatively impact the safe practice of nursing. The Board
will designate a member of the advisory committee, who may be a member or staff
of the Board, to serve as the chair of the advisory committee.

(Added to NAC by Bd. of Nursing, eff. 8-5-86; A by R051-03,
10-30-2003; R112-11, 2-15-2012)

1. The Board will appoint a committee to
advise and report to the Board on matters related to the establishment of a
scope of practice for nursing in this State. The committee will consist of at
least 10 persons who are knowledgeable in all areas of general nursing practice
in Nevada and trends in national nursing practice, and a member of the Board’s
staff, who shall serve as chair of the committee.

2. The Board will appoint a committee,
consisting of at least seven persons, to advise and report to the Board on
matters related to this chapter and chapter
632 of NRS as they relate to licensees and holders of certificates
maintaining competency through:

(a) Academic education, including continuing
education; and

(b) Acquisition of new knowledge, skills and
abilities.

3. The Board will appoint a committee to
advise and report to the Board on matters related to the practice of advanced
practice registered nurses. The committee will consist of not more than 10
persons who are knowledgeable in areas concerning the practice of advanced
practice registered nurses.

4. Each person appointed to a committee
pursuant to this section, other than a member of the Board or the Board’s
staff, serves as a volunteer.

1. The Board will interpret the practice of
professional nursing to include, but not be limited to, the duties specified in
NAC 632.214 to 632.224,
inclusive.

2. A registered nurse shall demonstrate in
the performance of those duties competence in:

(a) The diagnosis and treatment of human responses
to actual or potential health problems;

(b) Exercising sound judgment;

(c) Making decisions;

(d) Carrying out his or her duties based on an
established plan of care;

(e) Evaluating, assessing and altering, if
appropriate, the established plan of care;

(f) Delegating appropriate duties to other persons;

(g) Supervising a person to whom the registered
nurse has delegated nursing duties;

(h) Maintaining accountability in the delegation of
care;

(i) Administering medication and carrying out
treatments which are properly authorized;

(j) Determining the necessity and appropriateness
of health care services for a patient or prospective patient and determining
that patient’s eligibility for payment of those health care services by a
licensed insurer;

(k) Managing the cases of patients assigned to him
or her by coordinating services and collaborating with other health care
professionals in the provision of health care services;

(l) Planning for the discharge of patients; and

(m) Managing risk in the provision of health care
services.

(Added to NAC by Bd. of Nursing, eff. 11-2-87; A 6-26-96;
R112-11, 2-15-2012)

(a) The assessment and evaluation of the health of
each patient under the care of the registered nurse based on his or her
knowledge or understanding of the biological, psychological, social and
cultural factors affecting the patient’s condition;

(b) The development of a written plan for the care
of each patient under the care of the registered nurse based on the present and
predicted needs of the patient, and shall review and revise that plan if
necessary;

(c) The evaluation of a patient’s health and the
initiation of acts which are necessary to provide adequate care to a patient
when needed, giving direct care to a patient, assisting with the care of the
patient or delegating the care of the patient to persons qualified to provide
that care;

(d) Making judgments and decisions regarding the
status of a patient and the planning, carrying out, evaluation, and
modification of the patient’s care as needed;

(e) The documentation of observations, assessments
and responses of patients and the care provided to those patients; and

(f) In situations which threaten the life of a
patient, acts which are necessary to stabilize the patient’s condition and
prevent more serious complications, performed pursuant to an established
policy.

2. A registered nurse may perform:

(a) The duties of a circulating nurse or surgical
first assistant in an operating room; and

(b) Uncomplicated deliveries of infants if:

(1) The registered nurse is an advanced
practice registered nurse; and

(2) The delivery is performed under the direction
of a physician.

(Added to NAC by Bd. of Nursing, eff. 11-2-87; A by
R112-11, 2-15-2012)

1. The identification of the immediate and
long-term goals for the care of patients under his or her care;

2. The assessment of the need for and the
provision of health education and counseling of a patient under the care of the
registered nurse based on the needs of the patient, involving the patient and
his or her family and friends, so that the patient may better understand the
immediate and long-term goals for his or her care;

3. The recognition of the various
psychological and social needs of the patients;

4. The provision and encouragement of an
environment conducive to the safety and health of patients;

5. The collaboration with other providers of
health care to provide safe care for the patient; and

6. The use of resources in the community to
continue the proper care of a patient after the patient leaves the care of the
registered nurse.

(Added to NAC by Bd. of Nursing, eff. 11-2-87)

NAC 632.220Medication and treatment of patients; response to orders;
adjustment of dosage or frequency of medication. (NRS 632.120)

1. A registered nurse shall perform or
supervise:

(a) The verification of an order given for the care
of a patient to ensure that it is appropriate and properly authorized and that
there are no documented contraindications in carrying out the order;

(b) Any act necessary to understand the purpose and
effect of medications and treatments and to ensure the competence of the person
to whom the administration of medications is delegated; and

(c) The initiation of intravenous therapy and the
administration of intravenous medication.

2. A registered nurse shall take orders only
from a licensed physician, physician assistant, dentist, podiatric physician or
advanced practice registered nurse. A registered nurse may refuse an order if
he or she takes appropriate action to ensure the safety of a patient.

3. If a prescription specifies a range of
the dosage or frequency for the administration of a medication, a registered
nurse may adjust the dosage or frequency of the medication within that range
when he or she administers the medication to a patient.

(Added to NAC by Bd. of Nursing, eff. 11-2-87; A by
R070-00, 6-20-2000; R122-01, 12-17-2001)

1. A registered nurse may delegate nursing
care to other personnel and supervise other personnel in the provision of that
care if those persons are qualified to provide that care.

2. A registered nurse shall perform or
supervise any act necessary to ensure the quality and sufficiency of delegated
nursing care provided to a patient.

3. Before delegating the care of a patient, a
registered nurse shall consider the following:

(a) The amount of direction required by the person
to whom the care is being delegated;

(b) The complexity of the nursing care needed by
the patient, recognizing that simple care may be performed by following an
established policy while more complex care requires greater knowledge and a
higher level of judgment, direction and supervision;

(c) The educational preparation and demonstrated
competency of the person to whom the care is delegated; and

(d) The established policies and procedures
relating to the care of the patient and the procedures used to communicate to
other providers of health care the patient’s symptoms, reactions and progress.

4. A registered nurse who delegates nursing
care or duties relating to that care to other personnel is responsible for the
actions taken by those persons in carrying out the duties delegated or
assigned.

(Added to NAC by Bd. of Nursing, eff. 11-2-87; A by
R112-11, 2-15-2012)

(a) Determine the priority of the needs of each
patient and group of patients under his or her care;

(b) Provide direction in formulating, interpreting
and carrying out the objectives and policies related to nursing care;

(c) Assist those persons who are being supervised
to develop the skills needed for their competence in providing for the care of
a patient;

(d) Assist the persons who are being supervised in
carrying out the planned care of a patient; and

(e) Evaluate the effectiveness of the nursing care
given to each patient or group of patients under his or her care.

2. A registered nurse who is employed as a
chief nurse is responsible for the management of other personnel under his or
her supervision and shall:

(a) Establish the authorized scope of practice for
the personnel he or she supervises and establish and document a process to
carry out, maintain and improve the knowledge, skills and ability of those
persons to provide safe and effective care.

(b) Before assigning those persons, verify their
ability to carry out safely duties which are identified in a written policy and
to follow the procedures established by the employing agency.

(c) Establish written guidelines to be followed by
personnel under his or her supervision for receiving and administering prescriptions.
The guidelines must include procedures for:

(1) Identifying the type of patient to be
served;

(2) Identifying the intended medical
treatment; and

(3) Resolving any questions related to a
prescription,

Ê if the
prescription is not received directly from an advanced practice registered
nurse, a licensed physician, a licensed physician assistant, a licensed dentist
or a licensed podiatric physician.

(d) Ensure that the guidelines established pursuant
to paragraph (c) are available at each site where nursing care is provided
under the supervision of the chief nurse.

(e) Create a safe and effective system for delivery
of nursing care which complies with nationally recognized standards.

(f) Maintain a list of the references used to
determine the authorized scope of practice for the personnel he or she
supervises and make them available to governmental agencies upon request.

3. If a chief nurse is not assigned to the
practice area of a registered nurse, the registered nurse must determine the
authorized scope of his or her practice and establish and document verification
of his or her competency.

1. A registered nurse may perform a skill,
assessment, intervention or other duty in addition to those taught in a basic
educational program for a professional nurse if:

(a) The performance of the skill, assessment,
intervention or other duty is within the authorized scope of practice of a
registered nurse in this State.

(b) In performing the skill, assessment,
intervention or other duty the registered nurse follows the applicable written
procedures and policies approved by the medical staff, the nursing
administration and the administration of the employing agency.

(c) Before performing the skill, assessment,
intervention or other duty the registered nurse submits to his or her employer
proof that he or she:

(1) Has completed a comprehensive program of
study and supervised clinical practice which was approved by the Board on or
after January 1, 1986;

(2) Has completed a comprehensive program of
study and supervised clinical practice from another state;

(3) Maintains certification from a national
organization recognized by the Board for this purpose; or

(4) Has acquired the additional knowledge,
skill and ability.

2. The registered nurse and his or her employer
shall each maintain evidence of:

(a) The original documentation and demonstration of
the acquired knowledge, skill and ability; and

(b) Annual verification of the registered nurse’s
continued competency regarding that knowledge, skill and ability through
recertification or records of evaluations documenting satisfactory repeated
performances of the knowledge, skill and ability in the nurse’s area of
practice.

3. For the purposes of paragraph (a) of
subsection 1, a skill, assessment, intervention or other duty is within the
authorized scope of practice of a registered nurse if it has been described as
being performed by a registered nurse in two or more national nursing
publications, national nursing practice guidelines or national standards for nursing
practice, or any combination thereof, which:

(a) Are listed in the annual Cumulative Index to
Nursing and Allied Health Literature that was most recently approved by the
Board; or

1. A school nurse who is a registered nurse
shall direct and provide school nursing services.

2. In carrying out a plan of nursing care
for a pupil with special needs pursuant to NRS 391.208, a school nurse who is
a registered nurse may delegate nursing services to a qualified person.

3. A school nurse may delegate only those
duties that the Board has approved. The Board will maintain a list of the
duties it has approved for delegation and provide a copy of the list to a
school nurse or member of the general public upon request.

4. A licensed practical nurse who is
employed by a school district to provide nursing services in a school may not
delegate nursing services or assign duties relating to such services to another
person.

5. A school nurse shall develop safe and
effective procedures for the administration of medication to pupils that comply
with nationally recognized standards and the laws of this State.

6. A school nurse may not administer
medication to a pupil or delegate that duty to another person unless:

(a) The school nurse has obtained written
authorization from the parent or legal guardian of the pupil to administer the
medication;

(b) The medication is labeled; and

(c) The school nurse verifies that the medication
has been prescribed and dispensed by a person authorized to do so pursuant to chapter 453, 454 or 639 of NRS or the laws of another state
or the District of Columbia.

7. A record of the medication administered
to a pupil must be maintained at the school the pupil attends. Each time the
school nurse or the person to whom he or she delegated the duty administers
medication to the pupil, it must be indicated in the record.

8. As used in this section:

(a) “Qualified person” means a person who is:

(1) Certified or licensed by this State to
provide nursing services to a pupil;

(2) Willing to provide nursing services to a
pupil and who the school nurse has determined has the knowledge and skill to
provide the nursing services to the pupil in a safe and effective manner; or

(3) Except as otherwise provided in this
subparagraph, exempt from the requirement of obtaining a license to practice
nursing pursuant to subsection 1 of NRS
632.340 and whom the parent or legal guardian of the pupil designates as a
person who may provide nursing services to the pupil. A parent or legal
guardian may not designate a person who is employed by the school district in
which the pupil attends school as a person who may provide nursing services to
the pupil.

(b) “School nurse” means a licensee who is
qualified as set forth in subsection 2 of NRS 391.207 and the regulations
adopted pursuant thereto as a school nurse and who is serving in that capacity.

(Added to NAC by Bd. of Nursing by R071-00, eff. 10-20-2000;
A by R002-10, 8-13-2010; R112-11, 2-15-2012)

Practical Nurses

NAC 632.228Duties included. (NRS 632.120)The
Board will interpret the practice of practical nursing to include, but not be
limited to, those duties and acts specified in NAC
632.230 to 632.242, inclusive.

1. May not independently carry out those
duties which require the substantial judgment, knowledge and skill of a
registered nurse.

2. Shall determine before the performance of
any task that he or she has the knowledge, skill and experience to perform the
task competently.

3. May supervise other personnel in the
provision of care.

(Added to NAC by Bd. of Nursing, eff. 11-2-87; A by
R112-11, 2-15-2012)

NAC 632.232Recording and reporting. (NRS 632.120)A
licensed practical nurse shall contribute to the plan of care established for a
patient by recording and reporting to the appropriate person his or her
observations, collected data and activities relating to the physical and mental
condition of the patient, including any symptoms which may indicate a change in
the patient’s status.

1. A licensed practical nurse may collect
data and perform a skill, intervention or other duty in addition to those
taught in an educational program for practical nurses if:

(a) The collection of data or performance of the
additional skill, intervention or other duty is within the authorized scope of
practice of a licensed practical nurse in this State.

(b) In collecting data and performing the
additional skill, intervention or other duty, the licensed practical nurse
follows the applicable written procedures and policies approved by the medical
staff, the nursing administration and the administration of the employing
agency.

(c) Before collecting data or performing the skill,
intervention or other duty, the licensed practical nurse submits to his or her
employer proof that he or she:

(1) Has completed a comprehensive program of
study and supervised clinical practice which was approved by the Board on or
after January 1, 1986;

(2) Has completed a comprehensive program of
study and supervised clinical practice from another state; or

(3) Has acquired the additional knowledge,
skill and ability.

2. The licensed practical nurse and his or
her employer shall each maintain evidence of:

(a) The original documentation and demonstration of
the acquired knowledge, skill and ability; and

(b) Annual verification of the nurse’s continued
competency regarding that knowledge, skill and ability through recertification
or records of evaluations documenting satisfactory repeated performances of the
knowledge, skill and ability in the nurse’s area of practice.

3. For the purposes of paragraph (a) of
subsection 1, collection of data and a skill, intervention or other duty is
within the authorized scope of practice of a licensed practical nurse if it has
been described as being performed by a licensed practical nurse in two or more
national nursing publications, national nursing practice guidelines or national
standards for nursing practice, or any combination thereof, which:

(a) Are listed in the Cumulative Index to
Nursing and Allied Health Literature, as adopted by reference in NAC 632.110; or

NAC 632.244Assignment of unauthorized acts prohibited. (NRS 632.120)A
registered nurse or a licensed practical nurse shall not assign to a person the
performance of an act that the person is not otherwise authorized by law to
perform.

(Added to NAC by Bd. of Nursing by R211-97, eff. 9-25-98)

NAC 632.246Assignment to unauthorized person of duty to administer certain
substances prohibited. (NRS 632.120)A
registered nurse or a licensed practical nurse shall not assign the
administration of a controlled substance, dangerous drug, poison or device to
other personnel unless the person to whom it is assigned is authorized to
administer the controlled substance, dangerous drug, poison or device.

(Added to NAC by Bd. of Nursing, eff. 11-2-87)

NAC 632.248Assignment to unlicensed personnel of certain nursing duties
prohibited; exception. (NRS 632.120) Except as otherwise
provided in NAC 632.226, unlicensed personnel may not be assigned
those duties which require the knowledge and skill of a licensed professional
nurse or a licensed practical nurse as described in chapter 632 of NRS.

(Added to NAC by Bd. of Nursing, eff. 11-2-87; A by
R071-00, 10-20-2000)

(b) When introducing himself or herself to a client,
patient or prospective patient; and

(c) On a name tag which:

(1) Includes, at a minimum, his or her first
name and the first initial of his or her last name, and his or her title;

(2) Is prominently displayed on his or her
clothing; and

(3) Is clearly legible from a distance of at
least 3 feet.

2. In addition to the requirements set forth
in subsection 1, each registered nurse, licensed practical nurse, certified
nursing assistant, medication aide - certified, nursing student and nurse
certified in an advanced specialty shall, when practicing telenursing, identify
orally the state in which he or she is licensed or certified.

3. As used in this section:

(a) “Nurse certified in an advanced specialty”
includes, but is not limited to, a clinical nurse specialist, advanced practice
registered nurse, certified registered nurse anesthetist and attendant as that
term is defined in NAC 632.565.

(b) “Telenursing” means the provision of nursing
care or advice from a remote location through the use of telecommunications
equipment, including, but not limited to, a telephone, teletype, facsimile
machine and any equipment capable of transmitting a video image.

NAC 632.251Identification of graduate nurses. (NRS 632.120)Until he
or she has been issued a license to practice as a registered nurse or practical
nurse, a graduate nurse shall identify himself or herself as a graduate nurse
on his or her name tag when recording patients’ records and in his or her
introduction to patients.

1. A nursing student may, as an apprentice
nurse, perform those tasks which the nursing student has successfully
demonstrated in his or her program of education if:

(a) The nursing student works as an apprentice
nurse in a licensed hospital for acute care, a licensed hospital for long-term
care, a community health clinic or a health maintenance organization and works
under the supervision of a registered nurse who is at the site where care is provided;

(b) The nursing student presents to his or her
employer satisfactory evidence from his or her school of nursing of successful
demonstration of his or her skills;

(c) The nursing student has been evaluated by the
chief nurse as safe to perform those tasks in the health care facility
employing him or her;

(d) The description of the position of apprentice
nurse provided by the health care facility employing the nursing student
identifies the roles and responsibilities of the position;

(e) The tasks delegated to the nursing student
acting as an apprentice nurse are identified in the health care facility’s
description of the position and have been approved by the Board as tasks that
are delegable to the nursing student;

(f) There is a formal procedure for the nursing
student to refuse to perform any task until he or she is comfortable with his
or her ability to do so safely; and

(g) The nursing student, acting as an apprentice
nurse, identifies himself or herself as an apprentice nurse on his or her name
tag when recording patients’ records and in his or her introduction to
patients.

2. While performing nursing functions as an
apprentice nurse, the nursing student is subject to the provisions of the Nurse
Practice Act and regulations adopted by the Board.

(Added to NAC by Bd. of Nursing, eff. 8-18-88; A 3-3-92;
5-9-96)

NAC 632.253Prohibited acts. (NRS 632.120)A
nursing student who is working as an apprentice nurse may not delegate his or
her duties or supervise other personnel.

NAC 632.255Scope of practice. (NRS 632.120, 632.237)An
advanced practice registered nurse may perform the following acts in addition
to the functions of a registered nurse if the advanced practice registered
nurse is properly prepared and the acts are currently within the standard of
practice for his or her role and population of focus:

2. Based on information obtained in the
assessment of a person’s health, manage the care of selected persons and
families with common, acute, recurrent or long-term health problems. Management
may include:

(a) Initiation of a program of treatment;

(b) Evaluation of responses to health problems and
programs of treatment;

(c) Informing a person or family of the status of
the patient’s health and alternatives for care;

(d) Evaluation of compliance with a program of
treatment agreed upon by the person or family and the advanced practice
registered nurse;

(e) Modification of programs of treatment based on
the response of the person or family to treatment;

(f) Referral to appropriate providers of health
care; and

(g) Commencement of care required to stabilize a
patient’s condition in an emergency.

3. Any other act if:

(a) The advanced practice registered nurse is
certified to perform that act by an organization recognized by the Board;

(b) The performance of the act was taught in the
program of education attended by the advanced practice registered nurse;

(c) The performance of the act was taught in a
comprehensive program of instruction successfully completed by the advanced
practice registered nurse, which included clinical experience;

(d) The act is within the scope of practice of an
advanced practice registered nurse as determined by the Board; or

(e) The advanced practice registered nurse is
trained to perform that act by a physician or another advanced practice
registered nurse and the act:

(1) Has been described as being performed by
an advanced practice registered nurse in two or more national nursing
publications, national nursing practice guidelines or national standards for
nursing practice, or any combination thereof, which are listed in the Cumulative
Index to Nursing and Allied Health Literature, as adopted by reference in NAC 632.110; or

1. An advanced practice registered nurse
shall maintain accurate records documenting all physical findings concerning a
patient, the diagnosis and treatment, and any prescriptions written for a
patient for whom the advanced practice registered nurse provides care.

2. A system of quality assurance must be in
place.

3. All the records must be available for
review by the Board. Any review will be conducted in accordance with the laws
relating to the confidentiality of medical records.

1. A copy of each license relating to
nursing that the advanced practice registered nurse holds;

2. A copy of the license issued by the Board
pursuant to NAC 632.2595, if applicable;

3. A copy of the policy of professional
liability insurance required pursuant to NAC 632.2567;

4. A list of all locations at which the
advanced practice registered nurse:

(a) Currently practices; and

(b) Has practiced within the 2 years immediately
preceding his or her most recent application for a license or renewal of a
license to practice as an advanced practice registered nurse;

5. Evidence of any national certifications
or other certifications relating to nursing which the advanced practice
registered nurse has received;

6. The protocol required by paragraph (b) of
subsection 3 of NRS 632.237, if
the advanced practice registered nurse prescribes a controlled substance listed
in schedule II and does not have the experience described in paragraph (a) of
subsection 3 of NRS 632.237;

7. Proof of the hours of continuing
education that the advanced practice registered nurse has completed in the 4
years immediately preceding his or her most recent application for a license or
renewal of a license to practice as an advanced practice registered nurse;

8. Copies of the transcripts from the
program completed by the advanced practice registered nurse as required
pursuant to NAC 632.260 and from any other
institution of higher education attended by the advanced practice registered
nurse; and

9. An attestation which states that the
advanced practice registered nurse will not practice outside the scope of his
or her education, role or population of focus.

(Added to NAC by Bd. of Nursing by R114-13, eff. 2-26-2014)

NAC 632.2567Professional liability insurance.
(NRS 632.120, 632.237, 632.238)Each
advanced practice registered nurse who is not otherwise covered under a policy
of professional liability insurance shall maintain a policy of professional
liability insurance.

1. An applicant for a license to practice as
an advanced practice registered nurse will be authorized to issue written
prescriptions for controlled substances, poisons, dangerous drugs and devices
only if the applicant:

(a) Is authorized to do so by the Board;

(b) Submits an application for authority to issue
written prescriptions for controlled substances, poisons, dangerous drugs or
devices to the Board; and

(c) Has successfully completed:

(1) A program that complies with the
requirements set forth in paragraph (a) of subsection 1 of NAC 632.260 and includes an advanced course in
pharmacotherapeutics; or

(2) A program of academic study that:

(I) Is approved by the Board;

(II) Consists of at least 2 semester
credits or an equivalent number of quarter credits in advanced
pharmacotherapeutics; and

(III) Is completed within the 2 years
immediately preceding the date the application is submitted to the Board.

2. In addition to the information contained
in the application for a license to practice as an advanced practice registered
nurse, an applicant who completes, before June 1, 2005, a program designed to
prepare an advanced practice registered nurse and who does not hold a master’s
or doctorate degree with a major in nursing must, in his or her application for
authority to write a prescription for controlled substances, poisons, dangerous
drugs and devices, include documentation of 1,000 hours of active practice
prescribing medication in the immediately preceding 2 years as an advanced
practice registered nurse.

3. Except as otherwise provided in
subsection 4, if an advanced practice registered nurse who is authorized to
prescribe certain controlled substances, poisons, dangerous drugs and devices
changes his or her role or population of focus, he or she must submit an
application to the Board for authority to prescribe those controlled
substances, poisons, dangerous drugs and devices which are currently within the
standard of practice in that role or population of focus. In addition to the
information contained in an application submitted pursuant to this subsection,
an advanced practice registered nurse who completes, before June 1, 2005, a
program designed to prepare an advanced practice registered nurse and who does
not hold a master’s or doctorate degree with a major in nursing must include in
his or her application documentation of 1,000 hours of active practice
prescribing medication in the new role or population of focus as an advanced
practice registered nurse.

(b) Changes his or her role or population of focus
to a role or population of focus that is substantially similar to his or her
former role or population of focus,

Ê is not
required to submit to the Board the application required pursuant to subsection
3 if the Board has authorized him or her to prescribe controlled substances,
poisons, dangerous drugs and devices in the practice of his or her former role
or population of focus.

NAC 632.258Review of application for authority to prescribe controlled
substances, poisons, dangerous drugs or devices. (NRS 632.120, 632.237)Each
application for authority to prescribe controlled substances, poisons,
dangerous drugs or devices will be reviewed by the Board or its designee for
compliance with current policy established by the Board.

(Added to NAC by Bd. of Nursing, 3-28-86, eff. 4-3-86;
A by R122-01, 12-17-2001)

NAC 632.259Controlled substances, poisons, dangerous drugs or devices that
may be prescribed. (NRS 632.120, 632.237)An
advanced practice registered nurse may only prescribe controlled substances,
poisons, dangerous drugs or devices which are currently within the standard of
practice in his or her identified role or population of focus.

1. The State Board of Nursing will issue a
license to dispense controlled substances, poisons, dangerous drugs and devices
to an advanced practice registered nurse if the advanced practice registered
nurse:

(a) Successfully completes an examination
administered by the State Board of Nursing on Nevada law relating to pharmacy;
and

(b) Submits to the State Board of Nursing his or
her affidavit verifying that he or she has made application with the State
Board of Pharmacy for a certificate of registration.

2. An advanced practice registered nurse who
receives a certificate of registration from the State Board of Pharmacy shall,
upon receipt, submit a copy of the certificate to the State Board of Nursing.

(Added to NAC by Bd. of Nursing, eff. 1-24-92; A by
R114-13, 2-26-2014)

NAC 632.2597License: Authorization to practice in certain roles; specification
of role and population of focus. (NRS 632.120, 632.237)

1. The Board will issue a license to
practice as an advanced practice registered nurse authorizing the licensee to
practice in a role as:

(a) A nurse midwife;

(b) A nurse practitioner;

(c) A clinical nurse specialist; or

(d) Any combination thereof.

2. An applicant for a license to practice as
an advanced practice registered nurse must submit to the Board documentation of
completion of the educational requirements set forth in:

(a) NAC 632.260, to
practice as a nurse midwife or a nurse practitioner; or

3. If an applicant wishes to obtain a
license to practice as an advanced practice registered nurse to practice in
more than one role listed in subsection 1, the applicant must submit to the
Board the documentation required pursuant to subsection 2 for each role for
which he or she seeks a license.

4. An applicant who wishes to obtain a
license to practice as an advanced practice registered nurse must request that
the Board issue the license to specify the role of the applicant and the
population of focus of the applicant within that specific role.

5. The Board recognizes the following
populations of focus:

(a) Women’s health or gender-specific health;

(b) Family health and caring for a patient across
the life span of the patient;

(c) Mental health;

(d) Adult health;

(e) Gerontology;

(f) Pediatrics;

(g) Neonatal; and

(h) Any other population of focus approved by the
Board.

6. An applicant must submit to the Board
documentation of completion of the educational requirements prescribed by the
Board for the population of focus for the specific role for which the license
is requested.

(Added to NAC by Bd. of Nursing by R140-97, eff. 4-17-98;
A by R113-11, 9-14-2012; R114-13, 2-26-2014)

1. An applicant for a license to practice as
an advanced practice registered nurse must:

(a) Have completed a program designed to prepare an
advanced practice registered nurse which must:

(1) Be at least 1 academic year in length,
which must include, without limitation, didactic instruction and clinical
experience with a qualified physician or advanced practice registered nurse;

(2) Be accredited or approved by an
organization approved by the Board to accredit or approve those programs;

(3) Include an advanced course in the
following areas of study:

(I) The assessment of the health of
patients;

(II) Pathophysiology; and

(III) The preparation for practice as an
advanced practice registered nurse;

(4) Include a concentration of courses for
preparation in a specific role or population of focus;

(5) Include clinical experience that requires
the student to integrate the knowledge and skills that are taught in the
program and emphasizes the specific role and population of focus chosen by the
student; and

(6) Include training in making clinical
decisions, including, but not limited to, diagnosing health conditions and
providing appropriate care.

(b) Present evidence to the Board that:

(1) Within 2 years before the date of his or
her application, the applicant completed a program to prepare an advanced
practice registered nurse; or

(2) He or she will complete 1,000 hours of
practice, without the privilege of writing prescriptions, under the supervision
of a qualified physician or advanced practice registered nurse, within a time
specified by the Board.

(c) If previously licensed or certified as an
advanced practice registered nurse in another state or jurisdiction, have
maintained the licensure or certification in good standing and complied with
the requirements for continuing education of that state or jurisdiction.

(d) If the applicant completes a program designed
to prepare an advanced practice registered nurse on or after July 1, 1992, but
before June 1, 2005:

(1) Be certified as an advanced practice
registered nurse by a nationally recognized certification agency; and

(2) Hold a bachelor’s degree in nursing from
an accredited school.

(e) If the applicant completes a program designed
to prepare an advanced practice registered nurse on or after June 1, 2005, but
before July 1, 2014, hold a master’s or doctorate degree in nursing.

(f) If the applicant completes a program designed to
prepare an advanced practice registered nurse on or after July 1, 2014:

(1) Hold a master’s or doctorate degree in
nursing; and

(2) Be certified as an advanced practice
registered nurse by the American Board of Nursing Specialties, the National
Commission for Certifying Agencies of the Institute for Credentialing
Excellence or any other nationally recognized certification agency approved by
the Board.

2. A student enrolled in a formal
educational program for an advanced practice registered nurse may perform the
functions of an advanced practice registered nurse, except writing
prescriptions, if he or she does so under the supervision of a licensed
physician or an advanced practice registered nurse. The student must hold a
license as a registered nurse in this State.

NAC 632.265License: Submission of application and other documents. (NRS 632.120, 632.237)A nurse
registered in this State who wishes to obtain a license to practice as an
advanced practice registered nurse must submit the following for the approval
of the Board:

1. The license issued to an advanced
practice registered nurse expires at the same time as a license for a
registered nurse.

2. In addition to renewing his or her
license as a registered nurse, an advanced practice registered nurse must renew
his or her license to practice as an advanced practice registered nurse by
submitting the information required pursuant to NAC
632.291 to renew a license to practice as an advanced practice registered
nurse and submitting the fee for renewal of the license to practice as an
advanced practice registered nurse.

1. When he or she renews his or her license,
an advanced practice registered nurse must submit, on forms supplied by the
Board:

(a) An attestation that the advanced practice
registered nurse:

(1) Has not been named as a defendant in any
malpractice suits;

(2) Has never had his or her clinical
privileges limited, suspended or revoked; and

(3) Has completed satisfactorily 45 hours of
continuing education directly related to his or her role or population of focus,
which may include the requirements for continuing education for renewal of a
license for a registered nurse.

(b) If the advanced practice registered nurse
completes a program designed to prepare an advanced practice registered nurse
on or after July 1, 2014, proof that the advanced practice registered nurse has
maintained certification as an advanced practice registered nurse by an entity
described in subparagraph (2) of paragraph (f) of subsection 1 of NAC 632.260.

(c) Any other information required by the Board.

2. If an advanced practice registered nurse
attests in the affirmative to subparagraphs (1) and (2) of paragraph (a) of
subsection 1, a temporary license may be issued until the next meeting of the
Board.

3. The Board will perform random audits of
advanced practice registered nurses to ensure compliance with the continuing
education requirements of this section and compliance with the requirement to
maintain a portfolio pursuant to NAC 632.2563.

4. If audited by the Board, an advanced
practice registered nurse shall submit:

(a) Proof that he or she has completed the
continuing education described in paragraph (a) of subsection 1 during the 24
months which immediately precede the most recent birthday of the advanced
practice registered nurse by presenting to the Board authenticated photocopies
of original certificates of completion or computer printouts from approved
providers of continuing education. A certificate of completion must include,
without limitation:

(1) The title of the course;

(2) The name of the provider of the course;

(3) The name of the body which approved the
course;

(4) The date on which the course was
presented;

(5) The name and license number of the
advanced practice registered nurse; and

NAC 632.292License: Placement on inactive status. (NRS 632.120, 632.237)An
advanced practice registered nurse must submit to the Board a written
notification that he or she wishes his or her license to be placed on inactive
status.

(Added to NAC by Bd. of Nursing, eff. 3-26-90; A by
R211-97, 9-25-98; R114-13, 2-26-2014)

NAC 632.293Application to renew practice after period of inactivity or
infrequent activity. (NRS 632.120, 632.237)If an
advanced practice registered nurse has not engaged in at least 1,000 hours of
practice during the previous 5 years, or wishes to return from inactive to
active status, the advanced practice registered nurse must submit to the Board
an application to renew his or her practice which includes evidence that:

1. He or she has satisfactorily completed
the continuing education required for that period; and

2. He or she has entered into an agreement
with a physician or an advanced practice registered nurse which provides that
the practice of the applicant will be closely supervised by that physician or
advanced practice registered nurse for a period of at least 1,000 hours.

1. The Board may deny the issuance or
renewal of, or suspend or revoke a license to practice as an advanced practice
registered nurse after a hearing if it finds that an advanced practice
registered nurse has:

(a) Performed tasks beyond those permitted pursuant
to this chapter or otherwise authorized by the Board, or breached a protocol
with a collaborating physician;

(b) Been negligent in performing services for
patients;

(c) Impersonated a physician or permitted others to
represent to the public that he or she is a physician;

(d) Violated any provision or failed to meet any
requirement of this chapter;

(e) Made, or caused to be made, a false, fraudulent
or forged statement or representation to procure or attempt to procure a
license to practice as an advanced practice registered nurse;

(f) Violated any statute or regulation relating to
prescribing, dispensing or administering any controlled substance, poison,
dangerous drug or device;

(g) Failed to maintain the portfolio required to be
maintained pursuant to NAC 632.2563; or

(h) Failed to perform nursing functions in a manner
consistent with established or customary standards.

2. Any licensed practical nurse or
registered nurse who:

(a) Uses the title “advanced practice registered
nurse” or any similar title or who acts as an advanced practice registered
nurse without having obtained a license pursuant to this section; or

(a) “Collaborating physician” means a person
licensed to practice medicine in this State who is responsible for conferring
with an advanced practice registered nurse concerning the prescription of
controlled substances by the advanced practice registered nurse.

(b) “Protocol” means the written directions for the
prescription of controlled substances that the advanced practice registered
nurse and collaborating physician have agreed upon.

1. A clinical nurse specialist must, in
addition to other duties, demonstrate competence in the ability to:

(a) Assess, conceptualize and diagnose nursing
problems; and

(b) Analyze complex problems related to health.

2. A clinical nurse specialist may act
directly in the care of patients as an expert clinician and indirectly as a
consultant, leader of other nurses, educator, researcher and agent to ensure
the quality of health care provided.

1. Any person who does not meet the
requirements set forth in NAC 632.300 may not use
the title “clinical nurse specialist” or any abbreviation or other words,
letters or signs to indicate that the person is a clinical nurse specialist.

2. Any nurse who misrepresents himself or
herself as a clinical nurse specialist in violation of this section is guilty
of unprofessional conduct and subject to disciplinary proceedings.

1. Before a designated facility may employ
medication aides - certified, the designated facility must submit an
application, on a form prescribed by the Board, to the Board for approval. The
application must include, without limitation:

(a) Documentation demonstrating that the designated
facility is certified to participate in Medicare and Medicaid.

(b) The job description of the medication aide -
certified.

(c) The name of the advanced practice registered
nurse or registered nurse who will be supervising or delegating duties to the
medication aide - certified.

(d) The policies and procedures developed by the
designated facility to carry out the duties to be delegated to a medication
aide - certified, including, without limitation, policies and procedures to
ensure patient safety and reporting errors in the administration of medication.

2. The policies and procedures submitted to
the Board pursuant to paragraph (d) of subsection 1 must include, without
limitation, provisions requiring:

(a) A medication aide - certified to report to his
or her supervising advanced practice registered nurse or registered nurse:

(1) Any signs or symptoms exhibited by a
patient which the medication aide - certified believes may indicate a threat to
the life of the patient;

(2) Any event which occurs that the medication
aide - certified believes may be a present threat to the life of a patient; and

(3) Medication that has been administered to a
patient that the medication aide - certified believes has not produced the
expected result or appears to be adversely affecting the health of a patient.

1. The Board will review the application
submitted pursuant to NAC 632.320 and provide
written notice to the designated facility of its determination within 30 days
after the application is received.

2. If the Board denies an application
submitted pursuant to NAC 632.320, the designated
facility may correct any deficiencies and resubmit the application to the Board
within 30 days after receipt of the written notice of denial pursuant to
subsection 1.

3. The Board may withdraw the approval to
employ medication aides - certified if the Board determines that the designated
facility has violated any statute or regulation or the facility no longer
qualifies as a designated facility. If the Board withdraws approval, the Board
must send a written notice by certified mail to the designated facility
specifying the reasons for the withdrawal. The designated facility may rebut
the reasons for the withdrawal contained in the notice within 15 days after the
date on which the notice is received. The Board will send a written notice of
its final determination to the designated facility.

1. A medication aide - certified may
administer medication using the methods set forth in NRS 632.294 and perform other
related duties of a medication aide - certified:

(a) At a designated facility that has been approved
by the Board to employ medication aides - certified pursuant to NAC 632.325;

(b) Under the supervision of an advanced practice
registered nurse or a registered nurse; and

(c) If the duties are directly related to the
administration of medication and have been delegated to the medication aide -
certified by an advanced practice registered nurse or a registered nurse who is
present in the designated facility.

(1) If the patient must be assessed to
determine whether the medication is necessary; or

(2) If the dosage of the medication has not
been calculated or converted;

(b) Administer medication or carry out other
related duties if the supervising advanced practice registered nurse or
registered nurse of the medication aide - certified is not present in the
designated facility;

(c) Administer medication or carry out other
related duties if the health or needs of the patient change;

(d) Administer medication if the medication has not
been reconstituted or mixed; or

(e) Care for a patient or perform other related
duties.

3. A medication aide - certified who has
reason to believe that he or she has made an error in the administration of
medication shall follow the policies and procedures adopted by the designated
facility pursuant to NAC 632.320 to report the
possible error to the advanced practice registered nurse or registered nurse
who is supervising the medication aide - certified. An advanced practice
registered nurse or registered nurse who receives such a report shall assist
the medication aide - certified to complete the documentation for the report.

1. Each nurse shall attest to his or her
compliance with the requirements for continuing education at the time for the
renewal of his or her license. The attestation must be made on forms provided
by the Board.

2. The Board will perform random audits of
nurses for compliance with the requirements for continuing education.

3. If audited by the Board, a nurse shall
prove that he or she has participated in 30 contact hours of continuing
education during the 24 months which immediately precede the nurse’s most
recent birthday by presenting authenticated photocopies of original
certificates of completion or computer printouts from approved providers of
continuing education to the Board. A certificate of completion or computer
printout must include:

(a) The title of the course;

(b) The name of the provider of the course;

(c) The name of the body which approved the course;

(d) The date on which the course was presented;

(e) The name and license number of the nurse; and

(f) The number of contact hours earned in the
course.

4. A nurse shall retain documentation of
completion of the requirements for continuing education for 4 years.

5. A nurse, while licensed pursuant to chapter 632 of NRS, shall retain
documentation of completion of a course of instruction relating to the medical
consequences of an act of terrorism that involves the use of a weapon of mass
destruction required by subsection 3 of NRS 632.343.

(Added to NAC by Bd. of Nursing, eff. 8-8-94; A by R063-08,
9-18-2008)

(4) A provider of continuing education that is
recognized by another board of nursing; or

(5) A provider of continuing education that is
recognized by the regulatory body of a related discipline that approves courses
of continuing education.

2. Each provider shall employ a coordinator
and shall notify the Board of the name of its coordinator. A coordinator shall
hold a current license as a registered nurse in Nevada and is responsible for
ensuring that:

(a) The contents of the course of continuing
education meet the national standards for the continuing education of nurses;

(b) The course incorporates principles of
instruction which are specifically designed to facilitate learning by adult students;
and

(c) The certificates of completion which are
provided to the successful participants of the course are accurate and comply
with the requirements set forth in NAC 632.340.

3. The Board will review all courses offered
for the completion of the requirements for continuing education by:

(a) Considering each application to the Board for
approval to act as a provider of continuing education;

(b) Maintaining a list of all providers approved by
the Board; and

(c) Investigating any complaint regarding a course
of continuing education.

4. The Board will perform random audits of
courses of continuing education. For the purposes of an audit by the Board, a
provider shall maintain a description of the contents of a course of continuing
education, a list of the persons who attended the course and copies of the
certificates of completion provided to the participants of the course for at
least 4 years after the course was presented. If a provider or its coordinator
fails to reflect the national requirements for the continuing education of
nurses in its business practices, the Board will remove the provider from the
list of providers approved by the Board.

NAC 632.400Reinstatement of inactive or delinquent license. (NRS 632.120, 632.343)When a
licensee holds an inactive or delinquent license and wishes to reinstate it,
the licensee must submit evidence to the Board of his or her participation in 30
contact hours of continuing education during the 2 years immediately preceding
the period for which the license is requested.

1. A licensed practical nurse who has
completed a course in intravenous therapy approved by the Board pursuant to NAC 632.242 and who acts pursuant to a written order
issued by an advanced practice registered nurse, a licensed physician, a
licensed physician assistant, a licensed dentist or a licensed podiatric
physician and under the immediate supervision of a physician, physician
assistant or registered nurse may:

(a) Start peripheral intravenous therapy using
devices which act like needles and are not longer than 3 inches;

(b) Introduce one or more solutions of
electrolytes, nutrients or vitamins;

(c) Piggyback solutions of electrolytes, nutrients
and vitamins;

(d) Administer any of the following medications by
adding a solution by piggyback:

(1) Antibiotics;

(2) Steroids; and

(3) Histamine H2 receptor antagonists;

(e) Administer fluid from a container which is
properly labeled and contains antibiotics, steroids or histamine H2 receptor
antagonists that were added by a pharmacist or a registered nurse designated by
the pharmacist;

(f) Flush locks;

(g) Except as otherwise provided in paragraph (h),
administer fluid by continuous or intermittent infusion through a peripheral
device which uses a mechanism to control the flow;

(h) Administer fluid to a patient with a temporary
central venous catheter by continuous or intermittent infusion through a
peripheral device which uses an electronic mechanism to control the flow;

(j) Discontinue peripheral intravenous catheters
which are not longer than 3 inches; and

(k) Change a central venous catheter dressing.

2. In addition to the procedures set forth
in subsection 1, a licensed practical nurse who has completed a course in
intravenous therapy approved by the Board pursuant to NAC
632.242 and who acts pursuant to a written order of a physician and under
the direct supervision of a registered nurse may assist the registered nurse in
the intravenous administration of blood and blood products by collecting data
and performing simple nursing tasks related to that administration of blood or
blood products.

NAC 632.460Labeling required on containers. (NRS 632.120)The
following information must be on a container before its contents may be
administered by a licensed practical nurse:

1. The name of the patient for whom the
contents are intended;

2. An identification of the contents;

3. The dosage;

4. The rate at which the contents are to be
administered;

5. The date and time when the container and
its contents were prepared;

6. The expiration date and time of the
contents;

7. The name or initials of the person who
prepared the container and its contents; and

8. The name or initials of the person who
superimposed the container, if applicable.

[Bd. of Nursing, § V subsec. D, eff. 8-21-81]

NAC 632.465Course on intravenous therapy: Prerequisites to offering. (NRS 632.120)Any
course on intravenous therapy must comply with the requirements set forth in NAC 632.475 before it is offered to licensed practical
nurses for the purpose of complying with the requirements of NAC 632.450 to 632.475,
inclusive.

2. The course must include at least 30 hours
of instruction and 10 hours of clinical or laboratory practice. The clinical or
laboratory practice must include three successful venipunctures on live
subjects or through the use of a simulator.

3. A licensed practical nurse shall provide
evidence of the maintenance or improvement of his or her knowledge and skills
required to perform venipuncture and intravenous therapy to his or her employer
or the Board, or both, upon request.

1. A certified registered nurse anesthetist
may, in addition to those functions authorized for the registered nurse,
perform the following acts, when it has been determined by a patient’s
physician, dentist or podiatric physician that an anesthetic is necessary for a
procedure, test or other treatment, in accordance with the applicable policies
and procedures regarding the administration of anesthetics:

(a) Obtain a history of the patient’s health, as
appropriate to the anticipated procedure, test or treatment;

(b) Assess the client’s condition, as appropriate
to the anticipated procedure, test or treatment;

(c) Recommend, request and order pertinent diagnostic
studies and evaluate the results of those studies;

(d) Prepare a written preanesthetic evaluation of
the patient and obtain the patient’s informed consent for the anesthesia;

(e) Select, order and administer preanesthetic
medication;

(f) Order, prepare and use any equipment and
supplies necessary for the administration of anesthesia and perform or order
any necessary safety checks on the equipment;

(g) Order and prepare any drugs used for the
administration of anesthesia;

(h) Select and order anesthesia techniques, agents
and adjunctive drugs;

(i) Perform and manage general, regional and local
anesthesia and techniques of hypnosis;

(o) Evaluate the patient’s response during
emergence from anesthesia and institute pharmacological or supportive treatment
to ensure adequate recovery from anesthesia;

(p) Provide care consistent with the principles of
infection control and anesthesia safety to prevent the spread of disease and
prevent harm to the anesthetized patient and others in the anesthetizing
environment;

(q) Select, order and administer postanesthetic
medication;

(r) Report to the person providing postanesthetic
care the patient’s physical and psychological condition, perioperative course
and any anticipated problems;

(s) Initiate, order and administer respiratory
support to ensure adequate ventilation and oxygenation in the immediate
postanesthetic period;

(t) Release the patient from the postanesthetic
care unit or discharge the patient from the ambulatory surgical setting;

(u) Include in a timely manner as a part of the
patient’s medical records a thorough report on all aspects of the patient’s
anesthesia care; and

(v) Assess the patient’s postanesthetic condition,
evaluate the patient’s response to anesthesia and take corrective action.

2. In addition, the nurse anesthetist may
accept additional responsibilities which are appropriate to the practice
setting and within his or her expertise. Such responsibilities may include, but
are not limited to, the selection and administration of drugs and techniques
for the control of pain in the preoperative, intraoperative and postoperative
setting.

(Added to NAC by Bd. of Nursing, eff. 8-5-86; A 5-12-93)

NAC 632.510Performance of duties in accordance with guidelines of facility. (NRS 632.120)A
certified registered nurse anesthetist practicing in a facility shall practice
in accordance with written guidelines that are approved by that facility and
conform to NAC 632.500 to 632.550,
inclusive. A review of the guidelines may be conducted by the Board to
determine if they conform to NAC 632.500 to 632.550, inclusive.

1. An applicant for initial approval as a
certified registered nurse anesthetist must:

(a) Hold a current license in Nevada in good
standing as a registered nurse;

(b) Submit to the Board evidence of successful
completion of a program for training as a nurse anesthetist that has been
accredited by a national organization recognized by the Board;

(c) Submit an application, on forms supplied by the
Board, which substantiates that the applicant meets the requirements of this
section and chapter 632 of NRS; and

(d) Submit evidence that the applicant has passed
an examination for initial certification and evidence that he or she is
currently certified by a nationally organized group recognized by the Board.

2. In addition to the requirements of
subsection 1, any applicant who is a graduate of a program for training as a
nurse anesthetist, after:

(a) June 1, 1988, must submit evidence that he or
she has received a baccalaureate degree in nursing; or

(b) June 1, 2005, must submit evidence that he or
she has received a master’s degree in nursing or anesthetic care.

(Added to NAC by Bd. of Nursing, eff. 8-5-86; A 5-12-93;
R081-06, 6-28-2006)

NAC 632.520Requirements if approved in another jurisdiction. (NRS 632.120)Any
person seeking to be approved as a certified registered nurse anesthetist in
this State and who is approved as a certified registered nurse anesthetist, or
its equivalent, in another jurisdiction must comply with all the requirements
set forth in NAC 632.500 to 632.550,
inclusive.

(Added by NAC by Bd. of Nursing, eff. 8-5-86)

NAC 632.530Certificate of recognition: Issuance; restrictions. (NRS 632.120)If the
Board finds that the applicant has met all the appropriate requirements set
forth in NAC 632.500 to 632.550,
inclusive, the applicant will be issued a certificate of recognition as a
certified registered nurse anesthetist. The certificate may be restricted to
administering certain types of anesthetics or to general, regional or local
anesthesia or monitored anesthesia care, or any combination thereof.

(Added to NAC by Bd. of Nursing, eff. 8-5-86; A by R081-06,
6-28-2006)

1. A recent graduate of an accredited
program for training as a nurse anesthetist may apply for temporary approval to
practice as a nurse anesthetist. If temporary approval is granted, the
applicant must take the first examination for certification available. During
the period of the temporary approval, the applicant must practice under the
direct supervision of a currently certified registered nurse anesthetist.

2. A temporary approval to practice may also
be issued to an applicant who has practiced as a nurse anesthetist in another
state, has a license in this State as a registered nurse, is in good standing
and not under investigation in any state, and is currently certified as a nurse
anesthetist by a nationally organized group recognized by the Board.

NAC 632.545Certificate of recognition: Expiration due to lapse in national
certification. (NRS 632.120)A
certificate of recognition as a certified registered nurse anesthetist expires
automatically whenever there is a lapse in his or her national certification
that is issued by the Council on Certification of Nurse Anesthetists.

NAC 632.550Certificate of recognition: Revocation, suspension or denial of
issuance or renewal. (NRS 632.120)The
Board may revoke, suspend or deny issuance or renewal of a certificate of
recognition of a certified registered nurse anesthetist if the certified
registered nurse anesthetist:

1. Commits any acts constituting a ground
for disciplinary action against a registered nurse;

2. Exceeds his or her authority or fails to
adhere to practice as designated by NAC 632.500 to 632.545, inclusive;

3. Administers an anesthetic without the
consent of a licensed physician, podiatric physician or dentist;

4. Makes or causes to be made a false or a
forged statement or representation in procuring or attempting to procure
approval or renewed certification as a nurse anesthetist;

5. Violates any statute or regulation
relating to prescribing, possessing, administering or dispensing drugs; or

NAC 632.570Certificate of completion of training: Application. (NRS 450B.160, 632.120)A
registered nurse who wishes to obtain a certificate of completion of training
as an attendant pursuant to subsections 7 and 8 of NRS 450B.160 must submit to the
Board an application on a form provided by the Board.

(Added to NAC by Bd. of Nursing, eff. 7-7-94)

NAC 632.575Certificate of completion of training: Renewal. (NRS 450B.160, 632.120)A
registered nurse who is employed as an attendant must submit to the Board an application
for renewal of his or her certificate of completion of training as an attendant
on a form provided by the Board with the application the registered nurse
submits for renewal of his or her license as a registered nurse pursuant to NAC 632.192.

(Added to NAC by Bd. of Nursing, eff. 7-7-94; A by R112-11,
2-15-2012)

NAC 632.580Submission of certificate of compliance to employer required. (NRS 450B.160, 632.120)A
registered nurse shall, not later than 30 days after he or she begins his or
her employment as an attendant or not later than 30 days after the registered
nurse completes the requirements for training as an attendant pursuant to
subsections 7 and 8 of NRS
450B.160, submit to his or her employer a copy of his or her certificate of
compliance with the requirements of subsections 7 and 8 of NRS 450B.160.

(a) Verify that the Board has issued to the
registered nurse a certificate of completion of training as an attendant; and

(b) Place in the personnel file of the registered
nurse a copy of the registered nurse’s certificate of completion of training as
an attendant issued by the Board.

2. The employer shall comply with the
provisions of subsection 1 not later than 30 days after the registered nurse
begins his or her employment as an attendant or not later than 30 days after
the registered nurse completes the requirements for training as an attendant
pursuant to subsections 7 and 8 of NRS
450B.160.

1. A university or college which wishes to
establish a program of nursing in this State must submit an application to the
Board. The Board will prescribe the form for the application.

2. The administrator of the program shall
submit to the Board, at least 6 months before the program is offered, a
statement of intent which must include:

(a) Proof that the program is approved by the system
of universities or community colleges of the state in which it is accredited;

(b) The results of a survey which demonstrates the
need for the program of nursing;

(c) The type of program which will be offered;

(d) The name, address and status of the
accreditation of the institution offering the program;

(e) The relationship of the program of nursing to
that institution;

(f) Evidence of budgetary support, including,
without limitation, a notarized accounting statement which conforms to
generally accepted standards of accounting and which demonstrates funding
sufficient to establish and sustain a program of nursing;

(g) A detailed schedule of the entire cost of
enrollment in the program of nursing, including, without limitation, tuition,
fees and any cost associated with the use or purchase of equipment;

(h) The projected enrollment;

(i) Evidence that a sufficient number of qualified
members of the faculty are available to conduct the program;

(j) Evidence that a sufficient number of clinical
placements are available in each area of nursing for which the program offers
education;

(k) A description of the proposed clinical
facilities to be used;

(l) The resources available at the site of the
program;

(m) The proposed schedule for beginning the program;

(n) The plan for the mentoring and development of
the administrator of the program developed by the administrator pursuant to NAC 632.660, if any;

(o) A written plan describing how the program will
ensure that, within 2 years after the first class is graduated, the graduates
of the program have a rate of passage on the National Council Licensure
Examination of not less than 80 percent the first time the graduate takes the
examination;

(p) A statement of the transferability of credits
earned in the program to institutions of the Nevada System of Higher Education;
and

1. A representative of the university or
college that wishes to establish a program of nursing must meet with the Board
to review the application.

2. A representative of the Board shall visit
the educational and clinical facilities to be used and submit a written report
to the Board.

3. The Board will notify the university or
college of its decision.

(Added to NAC by Bd. of Nursing, eff. 9-17-90)

NAC 632.615Provisional approval: Requirements for application. (NRS 632.120, 632.430, 632.440)A
university or college may apply for provisional approval of a program of
nursing offered by the university or college if:

1. A qualified administrator is at the site
and there are sufficient qualified members of the faculty to begin the program;

2. A written proposal for the program,
developed in accordance with the national curriculum and patient safety
standards for nursing education approved by the Board, has been submitted to
the Board; and

1. If the Board grants provisional approval
to a program of nursing offered by a university or college, the administrator
of the program shall submit a report concerning the program to the Board every
6 months.

2. A self-evaluation report demonstrating
compliance with the standards for nursing education approved by the Board must
be submitted by the administrator of the program to the Board within 6 months
after graduation of the first class.

(Added to NAC by Bd. of Nursing, eff. 9-17-90; A by
R212-99, 5-8-2000; R091-04, 8-13-2004)

1. A university or college which has been
granted provisional approval for a program of nursing and wishes to receive
full approval for the program must apply for that approval within 2 years after
the first class is graduated.

2. The Board will grant full approval to the
program of nursing:

(a) If 80 percent or more of the graduates of the
program who take the National Council Licensure Examination for the first time
pass the examination.

(b) Based on information:

(1) Included in the application for approval
submitted to the Board;

(2) Submitted concerning the pass rate of
graduates of the program who take the National Council Licensure Examination
for the first time; and

(3) Obtained by the Board from visits to the
program.

(Added to NAC by Bd. of Nursing, eff. 9-17-90; A 7-16-92;
R212-99, 5-8-2000)

1. A program of nursing which does not meet
the minimum standards prescribed by the Board or by statute must be placed on
conditional approval.

2. If a program of nursing has a pass rate
of less than 80 percent for graduates of the program who take the National
Council Licensure Examination for the first time, the administrator of the
program shall conduct a study to determine the deficiencies of the program and
the measures which must be taken to correct those deficiencies. The
administrator shall submit a copy of the study to the Board within 3 months
after the program receives the results of that examination.

3. If a program of nursing has a pass rate
of less than 80 percent for graduates of the program who take the National
Council Licensure Examination for the first time, for two such examinations
within 2 years, the Board will place the program on conditional approval and
conduct a review of the program at the site of the program.

4. The Board will notify the administrator
of the program of any deficiencies in the program and establish a plan to
correct those deficiencies. The administrator shall submit a report to the
Board within 6 months after the Board establishes the plan. The report must
include proof of compliance with the Board’s plan.

5. If the program complies with the plan,
the Board will withdraw the conditional approval. If the program does not
comply with the plan, the Board will remove the program from the list of
programs approved by the Board.

(Added to NAC by Bd. of Nursing, eff. 9-17-90; A 7-16-92;
R212-99, 5-8-2000)

1. The Board will deny the approval of a
program of nursing if it determines that the program fails to comply with the
standards for nursing education approved by the Board or the requirements of
the law.

2. The Board may withdraw the approval of a
program of nursing if it determines that the administrator of the program has
not provided sufficient evidence of the program’s compliance with the standards
for nursing education approved by the Board and the requirements of the law.

3. The Board may reinstate the approval of a
program of nursing if the administrator of the program submits proof that the
program has complied with the standards of nursing education approved by the
Board and the requirements of the law.

(Added to NAC by Bd. of Nursing, eff. 9-17-90; A by
R212-99, 5-8-2000)

1. A program of nursing must have sufficient
resources and facilities to prepare the students in accordance with the
philosophy and objectives of the program and the policies of the institution
offering the program.

2. Facilities must include:

(a) Offices for administrative, instructional and
clerical personnel;

(b) Classrooms, laboratories, conference rooms and
equipment for use for various teaching methods;

(c) Library resources which are appropriate and
accessible to students for the purpose of the program with consideration given
to their usefulness and scope and the currency of their books and periodicals;
and

(d) Clinical facilities sufficient to achieve the
objectives of the program, including written criteria for the selection of
those facilities approved by the Board.

3. Written contractual agreements must be
entered into by the administrator of the program and all agencies and
institutions which provide educational experiences for students of that
program.

(Added to NAC by Bd. of Nursing, eff. 9-17-90; A by
R091-04, 8-13-2004)

NAC 632.650Allocation of money for program. (NRS 632.120, 632.430, 632.440)A
sufficient amount of money must be allocated to a program of nursing for
members of the faculty, other necessary personnel, equipment, supplies and
services.

(Added to NAC by Bd. of Nursing, eff. 9-17-90)

NAC 632.655Presence of qualified administrator required. (NRS 632.120, 632.430, 632.440)A
qualified administrator must be at the site of a program of nursing offered by
a university or college before the first class is admitted to the program.

(b) Have at least 5 years of experience as a
registered nurse, 3 years of which must be teaching in a program of nursing
accredited by the National League for Nursing Accrediting Commission or the
Commission on Collegiate Nursing Education; and

(c) If the administrator does not have experience
in the administration of a program of nursing, develop and complete a plan for
his or her own mentoring and development.

2. The administrator of a program of nursing
which grants a bachelor’s degree in nursing must have a master’s degree with a
major in nursing and a doctorate degree in nursing or a related field from an
accredited school.

3. The administrator of a program of nursing
which grants an associate degree in nursing must have a master’s degree in
nursing from an accredited school.

4. The administrator of a program of
practical nursing must have a master’s degree in nursing from an accredited
school.

(Added to NAC by Bd. of Nursing, eff. 9-17-90; A by
R063-08, 9-18-2008; R112-11, 2-15-2012)

1. A program of nursing must have a
competent and stable faculty. The majority of the members of the faculty must
be full-time employees.

2. Of the faculty who are hired after August
13, 2004:

(a) At least 75 percent of the members must hold at
least a master’s degree with a major in nursing and have completed training
which is related to the area of teaching of the member; and

(b) Except as otherwise provided in subsection 3,
the remainder of such members, if any, must hold at least:

(1) A master’s or doctoral degree with a major
in nursing;

(2) A bachelor’s degree with a major in
nursing and a master’s or doctoral degree in a field related to nursing; or

(3) A graduate degree from an accredited
school of nursing as defined in NRS
632.011.

3. The Executive Director of the Board may,
for good cause shown, waive the requirements of paragraph (b) of subsection 2.

4. The members of the faculty shall develop
and evaluate the curriculum and the educational practices of the program.

5. Except as otherwise provided in this
subsection, in courses relating to the care of patients, there must be at least
one member of the faculty for every eight students. The Executive Director of
the Board may, upon a showing of good cause, waive the requirement.

6. A program of nursing that uses the
personnel of a clinical facility as preceptors to instruct the clinical
experience of students must require:

(a) Each preceptor to have clinical expertise and
to have demonstrated competence in the specialty of the students whom he or she
will instruct;

(b) Each preceptor to be approved by the faculty of
the program of nursing;

(c) The faculty of the program of nursing to
provide to each preceptor an orientation concerning the roles and
responsibilities of students, members of the faculty and preceptors; and

(d) The faculty of the program of nursing to
develop written objectives and provide a copy of those objectives to each
preceptor,

Ê before the
preceptor begins his or her instruction of the students.

7. In addition to the requirements set forth
in subsection 6, a program of nursing that uses the personnel of a clinical
facility as preceptors to instruct the clinical experience of students:

(a) Must ensure that each preceptor is assigned to
instruct not more than two students at the same time;

(b) Must designate a member of the faculty to serve
as a liaison between the preceptor and each student who participates in the
clinical experience;

(c) Must require that each preceptor be present in
the clinical facility and available to the students at all times when the
students provide nursing services to patients; and

(d) May use a preceptor to reinforce basic nursing
skills or to teach nursing skills which build on the basic nursing skills that
the students have acquired.

8. There must be at least one qualified
administrator for each department or division of the program.

9. If a university or college offers a
program of nursing for more than one level of preparation, there must be one
person who is responsible for each such level.

1. The requirements for admission to a
program of nursing must be clearly stated. The number of students enrolled in
the program of nursing must be determined by the number of members of the
faculty and the availability of clinical learning experiences.

2. Students who seek admission to a program
of nursing by transferring from a program of nursing from another accredited
school of nursing or who seek readmission for the completion of a program must
comply with the requirements for admission which are effective at the time of
the transfer or readmission.

3. All policies concerning students must be
in writing and must include, without limitation, processes for revision of the
policies and requirements for providing notice of any revisions to the
students.

4. The administrator of a program of nursing
shall establish a policy for the resolution of complaints and disputes
concerning students.

(Added to NAC by Bd. of Nursing, eff. 9-17-90; A by
R212-99, 5-8-2000; R063-08, 9-18-2008)

(b) The theory and practice of nursing, including,
without limitation, the attainment, intervention and maintenance of physical
and mental health and the prevention of illness across the life span of
patients, in a variety of clinical settings, and must include, without
limitation, instruction in evidence-based nursing practice and technological
skills commensurate with safely delivering patient care;

(c) Professional values, boundaries and ethics,
including, without limitation, the appropriate use of social media;

NAC 632.695Substantial revision of curriculum. (NRS 632.120, 632.430, 632.440)If the
curriculum of a program of nursing is substantially revised, the administrator
of the program shall submit the revision to the Board for approval at least 4
months before the revision is effective. A substantial revision means:

1. A reorganization of the curriculum;

2. A revision of the length of the program;

3. A revision of the objectives of the
program;

4. Any revision of the curriculum of a
program that affects the ability of the program to comply with the requirements
of this chapter or chapter 632 of NRS;
or

5. A revision of the type or amount of
clinical experience approved for the program.

Ê The term does
not include a change in the order in which courses must be taken.

(Added to NAC by Bd. of Nursing, eff. 9-17-90; A by
R141-97, 1-26-98; R063-08, 9-18-2008)

NAC 632.701Annual reports to Board. (NRS 632.120, 632.430, 632.440)The
administrator of a program of nursing shall submit an annual report to the
Board in the form prescribed by the Board.

(Added to NAC by Bd. of Nursing, eff. 9-17-90)

NAC 632.703Reports by program which conducts portion of its program in
Nevada; visits to determine eligibility for approval; approval required for
nontraditional courses of instruction; faculty required to be licensed in
Nevada. (NRS
632.120, 632.430, 632.440)

1. A program of nursing which conducts a
portion of its program in Nevada shall submit to the Board a report, on a form
provided by the Board, which includes:

(a) Proof of its current accreditation or approval
by the state in which the program originates or by any applicable national
nursing accreditation body;

(b) All correspondence received within the
preceding year from the accrediting body or bodies; and

(c) Evidence satisfactory to the Board that the
portion of the program conducted in Nevada is conducted in compliance with the
provisions of this chapter and chapter 632
of NRS relating to conducting a program of nursing.

2. The administrator of the program of
nursing shall:

(a) Notify the Board in writing of any action taken
in favor of or against the program by the accrediting body or bodies within 30
days after the action is taken; and

(b) Complete and submit an annual school report on
forms provided by the Board.

3. The Board may conduct a complete visit to
the program of nursing to determine its eligibility for approval at any time,
or may accept all or part of the survey and findings on accreditation from the
state in which the program originates.

4. A program of nursing conducted over the
Internet or any other nontraditional course of instruction in nursing shall not
provide clinical instruction in this State without the approval of the Board.

5. Each member of the faculty of a program
of nursing who conducts a portion of the program in this State must be licensed
in this State.

1. Except as otherwise provided in NAC 632.708, the Board will survey each program of
nursing, under the direction of the Executive Director appointed by the Board,
at least every 4 years.

2. The Board, a member of the Board’s staff
or an educational consultant working on behalf of the Board will visit the site
of the program during the survey. The visits must be scheduled at a time agreed
upon by the Board and the administrator of the program.

3. The administrator of the program shall
submit to the Board a self-evaluation report prepared by the administrator and
members of the faculty in the form prescribed by the Board.

4. The self-evaluation report which is
required by a nationally recognized association that accredits schools of
nursing may be submitted in lieu of the report required by subsection 3 if a
national accreditation survey of the program is scheduled in the same year as
the Board’s review or was completed in the previous year.

5. The Board will prepare a report of the
visits to the site of the program and furnish a copy of the report to the
administrator of the program. If the administrator objects to the report, the
administrator may submit to the Board a written statement which sets forth his
or her objections to the report.

(Added to NAC by Bd. of Nursing, eff. 9-17-90; A by
R212-99, 5-8-2000)

NAC 632.708Board may deem program as being surveyed in certain
circumstances. (NRS 632.120, 632.430, 632.440, 632.470)In lieu
of a survey of a program of nursing required by NAC
632.706, the Board may deem a program of nursing as being surveyed if:

1. The program has received accreditation
from a nationally recognized association that accredits schools of nursing, as
approved by the Board; and

2. The Board issues a written statement
which sets forth the reasons the Board deemed the program as being surveyed.

(Added to NAC by Bd. of Nursing by R212-99, eff. 5-8-2000;
A by R091-04, 8-13-2004)

1. If a university or college wishes to
terminate a program of nursing, it shall notify the Board in writing of the
reasons for and the proposed date of the termination of the program.

2. The program must continue to comply with
the standards for approval until all the matriculating students are graduated
from the program.

3. The university or college shall notify
the Board if the actual closing date will be different from the proposed
closing date.

4. If the university or college closes or
terminates its program of nursing, it is responsible for the management and
storage of the records of the students who enrolled in that program and shall
notify the Board of the arrangement made for the management and storage of
those records.

(Added to NAC by Bd. of Nursing, eff. 9-17-90; A by
R212-99, 5-8-2000)

1. Before a person may provide training to
nursing assistants in this State, the person must apply to the Board for
approval of the training program. The application must be in writing on a form
provided by the Board and include, but not be limited to:

(a) The content of the training program to be
offered.

(b) The number of hours of clinical instruction and
instruction in the classroom and laboratory.

(c) The behavioral objectives of each unit of
instruction.

(d) The methods to be used to teach each unit of
instruction.

(e) The methods to be used to evaluate the
achievement of behavioral objectives.

(f) A description of the facilities to be used for
clinical instruction and instruction in the classroom and laboratory.

2. The application must be accompanied by
the appropriate fee.

3. The application is valid for 1 year after
the date of receipt by the Board and must be renewed annually if the applicant
wishes to continue to provide training to nursing assistants in this State.

4. The Board will evaluate the application
to determine whether the training program qualifies as an approved program.

(Added to NAC by Bd. of Nursing, eff. 3-26-90; A 7-16-92)

NAC 632.726Determinations required before approval. (NRS 632.120, 632.2856)Before
the Board approves a training program for nursing assistants, it will determine
that the program will be:

1. Administered as required by law and the
provisions of this chapter.

2. Administered by a registered nurse who
has the qualifications required by the Federal Government and is qualified to
maintain the records required by NAC 632.790.

3. Coordinated by a registered nurse who has
the qualifications required by the Federal Government and is qualified to
perform the duties set forth in NAC 632.785.

(Added to NAC by Bd. of Nursing, eff. 3-26-90; A by
R196-07, 4-17-2008)

1. If the Board fails to approve a program
of training for nursing assistants, it will notify the applicant by mail of the
reasons the program was not approved.

2. A trainee who successfully completes a
program which is not approved by the Board is not eligible to take a competency
evaluation test.

3. The Board may not approve a program to be
given by a medical facility if the facility does not comply with the
requirements set forth in 42 C.F.R. § 483.151(b), which is hereby adopted by
reference. A copy of this regulation may be purchased from the Bureau of
Licensing and Certification for the price of 60 cents per page.

(Added to NAC by Bd. of Nursing, eff. 3-26-90; A 7-16-92;
R081-06, 6-28-2006)

NAC 632.751Instruction in personal care skills. (NRS 632.120, 632.2856)Units of
instruction in personal care skills must include instruction in the classroom
and clinical practice in:

1. Bathing, including the care of the mouth;

2. Grooming;

3. Dressing;

4. The use of the toilet;

5. Assisting with eating and hydration;

6. Proper feeding techniques; and

7. The care of the skin.

(Added to NAC by Bd. of Nursing, eff. 3-26-90)

NAC 632.756Instruction in needs of patients concerning mental health and
social services. (NRS 632.120, 632.2856)Units of
instruction in the needs of patients concerning mental health and social
services must include instruction in the classroom and clinical practice in the
identification of the psychosocial characteristics of a patient, including
training in:

1. Modifying the trainee’s behavior in
response to the behavior of the patient;

2. Identifying the developmental tasks
associated with the aging process;

3. Providing patients with the opportunity
and training to care for themselves, according to their capabilities;

4. Using the family of the patient as a
source of emotional support;

5. Reality orientation; and

6. The principles of managing behavior by
reinforcing appropriate behavior and reducing or eliminating inappropriate
behavior.

(Added to NAC by Bd. of Nursing, eff. 3-26-90)

NAC 632.758Instruction in care of cognitively impaired persons. (NRS 632.120, 632.2856)Units of
instruction in the care of cognitively impaired persons must include
instruction in the classroom and clinical practice in:

1. Techniques for meeting the needs and
managing the behavior of persons with dementia, including, but not limited to,
Alzheimer’s disease;

2. Communicating with cognitively impaired
persons;

3. Understanding the behavior of cognitively
impaired persons;

4. Appropriate responses to the behavior of
cognitively impaired persons; and

5. Methods for reducing the effects of
cognitive impairments.

(Added to NAC by Bd. of Nursing, eff. 7-16-92)

NAC 632.761Instruction in basic restorative services. (NRS 632.120, 632.2856)Units of
instruction in basic restorative services must include instruction in the
classroom and clinical practice in:

1. The use of devices which assist in
ambulation, eating and dressing;

2. Maintenance and range of motion;

3. Proper turning and positioning in a bed
and chair;

4. Transferring patients;

5. Assisting in bowel and bladder training;
and

6. Assisting in the care and use of
prosthetic devices, such as hearing aids, artificial eyes and artificial limbs.

(Added to NAC by Bd. of Nursing, eff. 3-26-90)

NAC 632.765Instruction in rights of patients. (NRS 632.120, 632.2856)Units of
instruction in the rights of patients must include instruction in the classroom
and clinical practice in:

1. Providing privacy and maintaining the
confidentiality of a patient;

2. Promoting the right of a patient to make
personal choices to accommodate his or her needs;

3. Providing assistance in resolving
grievances;

4. Providing for the care and security of
the possessions of a patient;

5. Recognizing, reporting and preventing the
abuse, neglect or exploitation of a patient; and

6. Maintaining the environment of a patient
and providing care to minimize the need for physical and chemical restraints.

(Added to NAC by Bd. of Nursing, eff. 3-26-90)

NAC 632.770Number of instructors required. (NRS 632.120, 632.2856)An
approved program must not have less than 1 instructor for each 15 trainees to
instruct nursing skills, laboratory practice or clinical practice.

1. Except as otherwise provided in this
section, instructors for an approved program must be registered nurses who are
approved by the Board.

2. The Board will approve a registered nurse
to be an instructor if the nurse:

(a) Holds a current active license in good standing
to practice nursing in this State;

(b) Has at least 2 years of experience in nursing,
1 year of which must be in the caring for the elderly or the chronically ill;

(c) Has successfully completed a course designated
by the Board;

(d) Complies with the requirements for continuing
education prescribed by the Board; and

(e) Meets any federal and state criteria
established for instructors of an approved program.

3. The Board will approve a licensed
practical nurse to be an instructor if:

(a) The Board determines that the circumstances
require his or her appointment; and

(b) The nurse meets the requirements set forth in
paragraphs (a) to (d), inclusive, of subsection 2.

4. The Board will issue a certificate of
approval to teach if the instructor:

(a) Meets the requirements of subsection 2 or 3;

(b) Submits an application to the Board; and

(c) Pays the applicable fee to the Board.

5. The Board will renew a certificate of
approval to teach annually if an instructor provides evidence satisfactory to
the Board that the instructor meets the requirements of this section and has
received compensation for teaching at least once in the preceding 2 years.

6. The coordinator of an approved program may
select a person who is qualified to carry out the duties set forth in NAC 632.785 to act as an instructor in his or her area
of specialization, even though the person is not a registered or licensed
practical nurse. The person so selected must:

(a) Have at least 1 year of experience in caring
for the elderly or chronically ill, or its equivalent; and

(b) Where applicable, be licensed, registered or
certified in good standing in his or her area of specialization.

Ê Such an
instructor may not be the primary instructor or supervise the testing of manual
skills.

(Added to NAC by Bd. of Nursing, eff. 3-26-90; A 7-16-92;
R212-99, 5-8-2000)

6. Provide each trainee with instructional
materials during those hours in which they can be put to maximum use.

7. Plan an orientation program for trainees
at each clinical facility used for training. The time spent for orientation may
not be included in the 75 hours required for training.

8. Ensure that each trainee is clearly
identified as a trainee in a manner which is easily recognizable to each
patient, member of a patient’s family, visitor or member of the medical staff
with whom the trainee works.

9. Develop a system of maintaining permanent
records which are essential to the operation of the program, including:

(a) The current and final records of each trainee,
which may include a list of the duties to be performed and the skills to be
learned in the program, with notations of satisfactory or unsatisfactory
performance, the date of the performance and the name of the supervising
instructor.

(b) The current records of the activities of the
program.

(c) The records of each instructor.

Ê Records
maintained pursuant to this subsection must be retained by the coordinator of
the approved program for at least 4 years after the date on which the record
was created.

10. Develop written policies for admission
to, continuance in, and dismissal and withdrawal from the program.

11. Report to the academic administrator of
the Board the name of each trainee who satisfactorily completes the program
within 30 days after the completion of the program.

12. Submit annual reports on forms provided
by the Board containing information required by the Board.

(Added to NAC by Bd. of Nursing, eff. 3-26-90; A by
R212-99, 5-8-2000)

NAC 632.790Records and reports. (NRS 632.120, 632.2856)The
administrator of an approved program shall provide for the safekeeping of the
permanent records and reports of the program. Those records must include:

1. The name, address, birthdate and social
security number of each trainee who enters and completes the program.

2. The name, address, birthdate and social
security number of each trainee who enters and withdraws or is dismissed from
the program before completing it.

3. The final grade of each trainee.

4. A copy of the certificate of completion given
to each trainee.

5. The date on which each training program
is begun and completed.

6. The name, address and approval number of
each instructor.

(Added to NAC by Bd. of Nursing, eff. 3-26-90)

NAC 632.795Revision of approved program. (NRS 632.120, 632.2856)Any
revision of an approved program must be approved by the Board before it is
used. Revisions include changes or additions in:

1. The objectives of the program.

2. The number of hours of instruction
required for the successful completion of the program.

1. The Executive Director will send a
written notice by certified mail to the administrative body and coordinator of
an approved program if the Board intends to withdraw its approval of that
program. The notice must specify the reasons for the withdrawal. The
coordinator of a program or the administrative body may rebut the reasons for
the withdrawal contained in the notice within 15 days after the date the notice
is received. The Executive Director will send a written notice of the final
determination of the Board to the administrative body and the coordinator of
the program.

2. The Board may withdraw its approval of an
approved program if:

(a) The program fails to comply with the
requirements of any statute or regulation;

(b) Twenty percent or more of the trainees in the
program fail the competency evaluation test;

(c) The program has not admitted any trainees
within the previous 12 months; or

(d) The Board finds three or more instances in
which one or more trainees of the program have engaged in unsafe or abusive
conduct during the competency evaluation test. For the purposes of conducting
an investigation pursuant to NRS
632.310, three documented and substantiated incidents of unsafe or abusive
conduct by trainees of a program during the competency evaluation test make out
a prima facie case.

3. If the Board withdraws its approval, the
administrator of the program shall take such action as is necessary to retain
safely the records of each trainee in the program and to ensure that the
trainees complete training.

1. Before a person may provide training to
medication aides - certified in this State, the person must apply to the Board
for approval of the training program. The application must be in writing on a
form provided by the Board and include, without limitation:

(a) The content of the training program to be
offered.

(b) The number of hours of clinical instruction and
instruction in the classroom and laboratory.

(c) The behavioral objectives of each unit of
instruction.

(d) The methods to be used to teach each unit of
instruction.

(e) The methods to be used to evaluate the
achievement of behavioral objectives.

(f) A description of the facilities to be used for
clinical instruction and instruction in the classroom and laboratory.

2. The application must be accompanied by
the appropriate fee.

3. The application is valid for 1 year after
the date of receipt by the Board and must be renewed annually if the applicant
wishes to continue to provide training to medication aides - certified in this
State.

4. The Board will evaluate the application
to determine whether the training program qualifies as an approved program for
medication aides - certified.

(Added to NAC by Bd. of Nursing by R112-11, eff. 2-15-2012)

NAC 632.815Determinations required before approval. (NRS 632.120, 632.292)Before
the Board approves a training program for medication aides - certified, it will
determine if the program will be:

1. Administered in accordance with the
provisions of this chapter and any other applicable law.

1. The instructors for an approved program
for medication aides - certified must be registered nurses who are approved by
the Board.

2. The Board will approve a registered nurse
to be an instructor if the nurse:

(a) Holds a current active license in good standing
to practice nursing in this State;

(b) Has at least 3 years of experience in nursing,
1 year of which must be in the caring for the elderly or the chronically ill;

(c) Has obtained experience administering
medication in a designated facility within the immediately preceding 5 years or
has observed other nurses administering medication in a designated facility
within the immediately preceding 2 years;

(d) Complies with the continuing education
requirements prescribed by the Board;

(e) Holds a current certificate as a medication
aide - certified instructor; and

(f) Has successfully completed a course of training
for instructors of medication aides - certified approved by the Board.

3. The Board will issue a certificate of
approval to teach medication aides - certified if the instructor:

(a) Meets the requirements of subsection 2;

(b) Submits an application to the Board; and

(c) Pays the applicable fee to the Board.

4. The Board will renew a certificate of
approval to teach medication aides - certified annually if the instructor
provides evidence satisfactory to the Board that the instructor meets the
requirements of this section and has received compensation for teaching at
least once in the preceding 2 years.

6. Provide each trainee with instructional
materials during those hours in which they can be put to maximum use.

7. Plan an orientation program for trainees
at each clinical facility used for training. The time spent for orientation may
not be included in the 100 hours required for training pursuant to NAC 632.830.

8. Ensure that each trainee is clearly
identified as a trainee in a manner which is easily recognizable to each
patient, member of a patient’s family, visitor or member of the medical staff
for whom the trainee works.

9. Develop a system of maintaining permanent
records which are essential to the operation of the program, including, without
limitation:

(a) The current and final records of each trainee,
which must include, without limitation, a list of the duties relating to the
administration of medication to be performed and the skills to be learned in
the program, with notations of satisfactory or unsatisfactory performance, the date
of the performance and the name of the supervising instructor.

(b) The current records of the activities of the
program.

(c) The records of each instructor.

Ê Records
maintained pursuant to this subsection must be retained by the coordinator of
the approved training program for medication aides - certified for not less
than 4 years after the date on which the record is created.

10. Develop written policies for admission
to, continuance in, and dismissal and withdrawal from the program.

11. Report to the academic administrator of
the Board the name of each trainee who satisfactorily completes the program
within 30 days after the completion of the program.

12. Report to the Board the name of any
trainee involved in an error in the administration of medication, including a
root cause analysis of the error.

13. Submit annual reports on forms provided
by the Board containing information required by the Board.

(Added to NAC by Bd. of Nursing by R112-11, eff. 2-15-2012)

NAC 632.855Records and reports. (NRS 632.120, 632.292)The
administrator of an approved program for medication aides - certified shall
provide for the safekeeping of the permanent records and reports of the
program. Those records must include, without limitation:

1. The name, address and birthdate of each
trainee who enters and completes the program.

2. The name, address and birthdate of each
trainee who enters and withdraws or is dismissed from the program before
completing it.

3. The final grade of each trainee.

4. A copy of the certificate of completion
given to each trainee.

5. The date on which each training program
is begun and completed.

6. The name, address and approval number of
each instructor.

(Added to NAC by Bd. of Nursing by R112-11, eff. 2-15-2012)

NAC 632.860Revision of approved program. (NRS 632.120, 632.292)Any
revision of an approved program for medication aides - certified must be
approved by the Board before it is used. A revision includes, without
limitation, a change or addition in:

1. The objectives of the program.

2. The number of hours of instruction
required for the successful completion of the program.

(a) Review an approved program for medication aides
- certified annually; and

(b) Inspect the facilities used by an approved
program for medication aides - certified at least one time in every 24-month
period, or more frequently if the Executive Director determines a need exists.

2. Continued approval of an approved program
for medication aides - certified will be based upon:

(a) Information contained in the application for
approval which is submitted pursuant to NAC 632.810;

(b) The annual review conducted in accordance with
subsection 1 and the inspection of the facilities, if any;

(c) Whether the graduates of the program have a
passage rate on the national medication aide - certified examination approved
by the Board of not less than 80 percent; and

(d) The resolution of any deficiencies identified
by the Board in previous inspections.

3. The Board will notify the administering
body and the coordinator of the approved program for medication aides -
certified of the outcome of its review by listing commendations,
recommendations and deficiencies in the program.

1. The Executive Director will send a
written notice by certified mail to the administrative body and coordinator of
an approved program for medication aides - certified if the Board intends to
withdraw its approval of that program. The notice must specify the reasons for
the withdrawal. The coordinator of the program or the administrative body may
rebut the reasons for the withdrawal contained in the notice within 15 days
after the date on which the notice was received. The Executive Director will
send a written notice of the final determination of the Board to the
administrative body and the coordinator of the program.

2. The Board may withdraw its approval of an
approved program for medication aides - certified if:

(a) The program fails to comply with the
requirements of any statute or regulation;

(b) More than 20 percent of the trainees in the
program fail the national medication aide - certified certification examination
approved by the Board;

(c) The program has not admitted any trainees
within the immediately preceding 12 months; or

(d) The Board finds three or more instances in
which one or more trainees of the program have engaged in unsafe or abusive
conduct during the medication administration evaluation test. For the purposes
of conducting an investigation pursuant to NRS 632.310, three documented and
substantiated incidents of unsafe or abusive conduct by trainees of an approved
program for medication aides - certified during the competency evaluation test
make out a prima facie case for the withdrawal of approval of an approved
program for medication aides - certified.

3. If the Board withdraws its approval, the
administrator of the approved program for medication aides - certified must
take such action as is necessary to retain safely the records of each trainee
in the program and to ensure that the trainees complete training.

(Added to NAC by Bd. of Nursing by R112-11, eff. 2-15-2012)

DISCIPLINARY ACTION AND PRACTICE BEFORE THE BOARD

NAC 632.890Unprofessional conduct. (NRS 632.120, 632.320)The
Board will consider the following acts, among others, by a licensee or holder
of a certificate as unprofessional conduct:

1. Discriminating on the basis of race,
religious creed, color, national origin, age, disability, ancestry, sexual
orientation or sex in the rendering of nursing services.

2. Performing acts beyond the scope of the
practice of nursing.

3. Assuming duties and responsibilities
within the practice of nursing without adequate training.

4. Assuming duties and responsibilities
within the practice of nursing if competency is not maintained or the standards
of competence are not satisfied, or both.

5. Disclosing the contents of the
examination for licensure or certification, or soliciting, accepting or
compiling information regarding the contents of the examination before, during
or after its administration.

6. Assigning or delegating functions, tasks
or responsibilities of licensed or certified persons to unqualified persons.

7. Failing to supervise a person to whom
functions of nursing are delegated or assigned, if responsible for supervising
that person.

8. Failing to safeguard a patient from the
incompetent, abusive or illegal practice of any person.

9. Practicing nursing while, with or without
good cause, his or her physical, mental or emotional condition impairs his or
her ability to act in a manner consistent with established or customary nursing
standards, or both.

10. Practicing nursing, if any amount of
alcohol or a controlled substance or dangerous drug that is not legally
prescribed is present in the body of the nurse, nursing assistant or medication
aide - certified as determined by a test of the blood, saliva, breath, hair or
urine of the nurse, nursing assistant or medication aide - certified given
while the nurse, nursing assistant or medication aide - certified is on duty.

11. Having present in the body of the nurse,
nursing assistant or medication aide - certified alcohol or a controlled
substance or dangerous drug that is not legally prescribed during a test of the
blood, saliva, breath, hair or urine of the nurse, nursing assistant or
medication aide - certified given as a condition of employment.

12. Failing to respect and maintain a
patient’s right to privacy.

13. Violating a patient’s confidentiality.

14. Performing or offering to perform the
functions of a licensee or holder of a certificate by false representation or
under a false or an assumed name.

15. Failing to report the gross negligence
of a licensee or holder of a certificate in the performance of his or her
duties or a violation of the provisions of this chapter or chapter 632 of NRS.

16. Failing to document properly the
administration of a controlled substance, including, but not limited to:

(a) Failing to document the administration of a
controlled substance on the Controlled Substance Administration Record, the
patient’s Medication Administration Record and the Nursing Progress Notes,
including the patient’s response to the medication;

(b) Documenting as wastage a controlled substance
and taking that controlled substance for personal or other use;

(c) Failing to document the wastage of a controlled
substance that was not legally administered to a patient;

(d) Soliciting the signature on any record of a
person as a witness to the wastage of a controlled substance when that person
did not witness the wastage; or

(e) Signing any record as a witness attesting to
the wastage of a controlled substance which he or she did not actually witness.

17. Soliciting services or soliciting or
borrowing money, materials or other property, or any combination thereof, from
a:

(a) Patient;

(b) Family member of a patient;

(c) Person with significant personal ties to a
patient, whether or not related by blood; or

21. Obtaining, possessing, furnishing or administering
prescription drugs to any person, including himself or herself, except as
directed by a person authorized by law to prescribe drugs.

22. Leaving an assignment without properly
notifying the appropriate personnel or abandoning a patient in need of care.

23. Exploiting a patient for financial gain
or offering, giving, soliciting or receiving fees or gifts for the referral of
a:

(a) Patient;

(b) Family member of a patient;

(c) Person with significant personal ties to a
patient, whether or not related by blood; or

(d) Legal representative of a patient.

24. Failing to collaborate with other
members of a health care team as necessary to meet the health needs of a
patient.

25. Failing to observe the conditions, signs
and symptoms of a patient, to record the information or to report significant
changes to the appropriate persons.

26. Failing to abide by any state or federal
statute or regulation relating to the practice of nursing.

27. Failing to perform nursing functions in
a manner consistent with established or customary standards.

28. Causing a patient or the family of the
patient physical, mental or emotional harm by taking direct or indirect actions
or failing to take appropriate actions.

29. Engaging in sexual contact with a patient
or client.

30. Failing as a chief nurse to:

(a) Institute standards of nursing practice so that
safe and effective nursing care is provided to patients;

(b) Institute standards of competent organizational
management and management of human resources so that safe and effective nursing
care is provided to patients; or

(c) Create a safe and effective environment,
including the failure to assess the knowledge, skills and ability of a licensee
or holder of a certificate and determine his or her competence to carry out the
requirements of his or her job.

31. Failing to report the unauthorized
practice of nursing.

32. Endangering the safety of the general
public, patients, clients or coworkers by making actual or implied threats of
violence or carrying out an act of violence.

33. Abusing a patient.

34. Neglecting a patient.

35. Misappropriating the property of a
patient.

36. Failing to comply with a condition,
limitation or restriction which has been placed on his or her license or
certificate.

37. Engaging in the practice of nursing or
performing the services of a nursing assistant or medication aide - certified
without a license or certificate issued pursuant to the provisions of this
chapter and chapter 632 of NRS.

38. Displaying a license, certificate,
diploma or permit, or a copy of a license, certificate, diploma or permit,
which has been fraudulently purchased, issued, counterfeited or materially
altered.

39. Engaging in a pattern of conduct that
demonstrates failure to exercise the knowledge, skills, and abilities using the
methods ordinarily exercised by a reasonable and prudent nurse to protect the
public.

40. Committing an error in the
administration or delivery of medication to a patient.

41. Failing to cooperate with an
investigation conducted by the Board.

42. Engaging in any other unprofessional
conduct with a patient or client that the Board determines is outside the
professional boundaries generally considered acceptable in the profession,
including, without limitation, a violation of the guidelines of the American
Nurses Association or the National Council of State Boards of Nursing
concerning the appropriate use of social media.

NAC 632.895Interpretations for purposes of disciplinary action. (NRS 632.120, 632.320)For the
purposes of disciplinary action on the following grounds, the following
interpretations apply:

1. An offense involving moral turpitude
includes an act of dishonesty, baseness, vileness or depravity in the private
or social duties which a person owes to another person or to society contrary
to the accepted and customary rule of right and duty between human beings.

2. Gross negligence in carrying out usual
nursing functions includes a departure from established and customary standards
of care which would have been exercised by a licensed nurse or an act or
omission where there is a legal duty to act or to refrain from acting. An
exercise of so slight a degree of care as to justify the belief that there was
a conscious or overt disregard or indifference for the health, safety,
well-being or welfare of the public is considered a substantial departure from
the accepted standard of care.

3. Habitual intemperance or addiction to the
use of any controlled substance includes the use of those substances to the
extent that the person’s judgment, skills or ability to provide safe and
competent nursing care are impaired, that the person is unable to care for
himself or herself, his or her property or the members of his or her family, or
that it is medically determined that the person is in need of medical or
psychiatric care, treatment, rehabilitation or counseling.

4. Unfitness to practice nursing or mental
incompetence includes an order of a court adjudging that a person is mentally
incompetent, an evaluation by a qualified professional person indicating that
he or she is mentally or physically incapable of engaging in professional or
practical nursing in a manner consistent with sound care of patients, or an
uncorrected physical defect that precludes him or her from safely performing
nursing functions.

5. An offense involving abuse or neglect
includes an act by a licensee or holder of a certificate that constitutes the
failure to provide such service, care or supervision as is reasonable and
necessary to maintain the health or safety of a patient if:

(a) The act or omission is intentional, reckless or
grossly negligent;

(b) The act or omission is such a departure from
what would be the conduct of an ordinarily prudent, careful person under the
same circumstances that it is contrary to a proper regard for danger to human
life or constitutes indifference to the resulting consequences;

(c) The consequences of the act or omission could
have been reasonably foreseen; and

(d) The danger to human life was not the result of:

(1) The failure to attend to a duty under
circumstances that require the attention of the licensee or holder of a
certificate;

(2) A mischance, accident or casualty caused
by the licensee or holder of a certificate upon a person without an intent to
harm or hurt the person but which results in injury to or the death of the
person; or

(3) An unintentional act, omission or error in
judgment by the licensee or holder of a certificate,

Ê but was the
natural and probable result of the act or omission.

6. An act of patient abandonment occurs if:

(a) A licensee or holder of a certificate has been
assigned and accepted a duty of care to a patient;

(b) The licensee or holder of a certificate
departed from the site of the assignment without ensuring that the patient was
adequately cared for; and

(c) As a result of the departure, the patient was
in potential harm or actually harmed.

3. “Notice of hearing” means a document
which contains the information required by NRS 233B.121.

4. “Petitioner” means the representative of
the Board who files a complaint against a licensee or holder of a certificate
and who has the burden of proving the alleged violation.

5. “Respondent” means the licensee or holder
of a certificate against whom a complaint is filed.

(Added to NAC by Bd. of Nursing, eff. 11-6-95)

NAC 632.910Informal action for certain complaints and controversies;
discovery of new evidence. (NRS 632.120)Complaints
or controversies that do not justify or require formal proceedings may be
considered and resolved by the Board or the Executive Director or a person
designated by the Executive Director through informal conferences, meetings,
agreements, stipulations or other informal action as may be appropriate under
the circumstances. Such informal action is held without prejudice to the Board,
and formal proceedings may be instituted subsequently by the Board or the
Executive Director or a person designated by the Executive Director for the
same or related matters. If new evidence is discovered, the matter may at any
time be opened again and investigated further if the circumstances so warrant.

1. The Executive Director or a person
designated by the Executive Director may, in response to the report of an
investigation:

(a) Dismiss any complaint and notify the
complainant, the applicant or licensee named in the complaint, and any other
interested parties, stating the reasons for the dismissal.

(b) Cause, through legal counsel, a formal
disciplinary hearing to be brought before the Board.

2. If an investigation discloses that
disciplinary action is not necessary or warranted for the protection of the
public health, safety and welfare, the file on that investigation will be
closed. If new evidence is discovered, the matter may at any time be opened
again and investigated further if the circumstances so warrant.

1. At least 20 days before a hearing on any
formal disciplinary matter, the complaint and notice of the hearing will be
mailed to the person named in the complaint by certified mail to the last known
address shown on the records of the Board. The complaint and notice of hearing
may be included in the same document. There is a rebuttable presumption that a
complaint and notice of hearing has been received by a respondent 10 days after
the date the complaint and notice of hearing were deposited with the United
States Postal System.

2. Any contention that improper notice was
given is deemed to be waived unless the respondent raises the issue to the
Board before the commencement of arguments on any other motion related to the
complaint or the opening statement of the petitioner, whichever occurs first.

2. The Board will grant a continuance if the
amendment materially alters the complaint or a respondent demonstrates an
inability to prepare for the case in a timely manner.

3. A complaint may be withdrawn at any time
before the hearing begins.

(Added to NAC by Bd. of Nursing, eff. 11-6-95)

NAC 632.9175Consolidation of cases. (NRS 632.120)The
Board may consolidate two or more cases whenever it appears that the cases
involve common issues of law or fact and the interests of the parties will not
be prejudiced by the consolidation.

(Added to NAC by Bd. of Nursing, eff. 11-6-95)

NAC 632.918Hearings: Board not bound by strict rules of procedure;
stenographic notes of oral proceedings; record of charges and evidence. (NRS 632.120)

1. The Board will not be bound by strict
rules of procedure in the conduct of its proceedings.

2. A request by any party that the oral
proceedings, or any part thereof, be taken in the form of stenographic notes
must be submitted 5 days before the hearing and those notes may be transcribed
at the party’s own expense.

3. A record of the charges and a record of
all evidence produced will be filed in the Office of the Board.

1. A respondent may be represented by an
attorney licensed to practice law in this State. If the attorney is not
licensed to practice law in this State, he or she must be associated with an
attorney who is so licensed. The respondent may appear on his or her own behalf.

2. An attorney appearing in a hearing before
the Board shall ensure that his or her conduct complies with the Nevada Rules
of Professional Conduct.

3. All persons appearing in a hearing before
the Board shall conform to the standards of ethical and courteous conduct
required in the courts of this State.

4. If a person fails to conform his or her
conduct to the standards required by this section, the Board may:

(a) Limit the evidence presented by that person; or

(b) Exclude the person or the person’s
representative from the hearing.

5. Any action taken by the Board pursuant to
this section and the specific reasons for that action will be stated on the
record.

6. The respondent shall pay the cost for
representation by his or her attorney at a hearing before the Board.

(Added to NAC by Bd. of Nursing, eff. 11-6-95)

NAC 632.9195Withdrawal of attorney: Notice; denial of request. (NRS 632.120)An
attorney may withdraw from his or her representation of a respondent upon
notice to the respondent and the Board. The notice must include the reason for
the requested withdrawal. The Board may deny permission to withdraw if the
withdrawal would unreasonably delay the hearing.

1. The Board may appoint an attorney, who is
licensed to practice law in this State, or a nurse, who is licensed by the
Board, to serve as a hearing officer in a contested case. The hearing officer
may, upon the request of the Board:

(a) Conduct hearings;

(b) Question witnesses;

(c) Make rulings on motions and objections; and

(d) Submit suggested findings of fact or
conclusions of law to the Board at the conclusion of the case.

Ê In any
contested case in which a hearing officer is designated pursuant to the
provisions of this section, the Board will make the final determination of all
findings in the case.

2. If the hearing officer is an attorney
licensed to practice law in this State, the hearing officer may, upon the
request of the Board, provide such legal counsel to the Board as the Board may
require during the hearing and deliberation on a complaint.

3. If the Board does not appoint a hearing
officer pursuant to subsection 1, the Board will designate the Executive
Director, a presiding officer or any other member of the Board to serve as the
hearing officer.

1. A motion must be made in writing, unless
otherwise authorized by the Board or hearing officer during the hearing.

2. Only the following motions may be made:

(a) To request the dismissal of the complaint for a
failure to state facts which, if true, would form a sufficient basis for
discipline.

(b) To request the dismissal of the complaint if
the petitioner has concluded the presentation of his or her case and has failed
to meet his or her burden of proof.

(c) To request a continuance or extension of time.

(d) To request an order granting a rehearing.

(e) To request a reconsideration of the decision of
the Board.

(f) To request the exclusion of a member of the
Board or the hearing officer from participation in the hearing or deliberation
for good cause.

(g) To request that an order be vacated or
modified.

(h) To request the separation of cases which have
been consolidated pursuant to NAC 632.9175.

(i) To limit or quash a subpoena issued by the
Board.

3. The Board may require oral argument and
the submission of additional facts or evidence to decide a motion.

4. A written motion must be served on the
opposing party and the Board at least 10 days before the time set for the
hearing on the motion.

5. An opposing party may file a written
response to a motion within 7 days after the receipt of the motion by serving
the written response on all parties and the Board, but in no case may a written
response be filed less than 3 days before the time set for the hearing on the
motion except for good cause shown and with the permission of the Board.

(Added to NAC by Bd. of Nursing, eff. 11-6-95)

NAC 632.922Request for continuance of formal hearing. (NRS 632.120)A
request for a continuance of a formal hearing must be presented to the Board,
in writing, before the date of the hearing or orally at the time of the
hearing. The request will be heard by the Board at the time set for the hearing
or at its next scheduled meeting, whichever comes first.

(Added to NAC by Bd. of Nursing, eff. 11-19-93)

NAC 632.923Failure to appear. (NRS 632.120)If a
party fails to appear at a hearing scheduled by the Board and a continuance has
not been requested or granted, upon an offer of proof by the other party that
the absent party was given proper notice and upon a determination by the Board
that proper notice was given, the Board may proceed to consider the case
without the participation of the absent party and may dispose of the matter on
the basis of the evidence before it. If the respondent fails to appear at the
hearing or fails to reply to the notice, the charges specified in the complaint
may be considered as true.

1. A party may call any other party or
witness as an adverse witness. The party may question such a witness as if
conducting a cross-examination.

2. Any party who is surprised by the
testimony of a witness, called in good faith as a witness on the party’s
behalf, may question the witness as if conducting a cross-examination.

(Added to NAC by Bd. of Nursing, eff. 11-6-95)

NAC 632.925Appearance by interested person. (NRS 632.120)Anyone
desiring to appear before the Board shall advise the Executive Director in
writing at least 20 days preceding the next scheduled meeting, stating briefly
what matter the person wishes the Board to consider.

1. Except as otherwise provided in this
section, a hearing in a contested case will be conducted in the following
order:

(a) The hearing will be called to order by the
President of the Board or the appointed hearing officer.

(b) Introduction of the parties and members of the
Board or the appointed hearing officer will be made.

(c) The complaint and notice of hearing will be
placed in evidence.

(d) The parties will be asked whether they wish to
have witnesses, except as otherwise provided in this paragraph, excluded from
the hearing except during their testimony. If excluded, witnesses will be
instructed not to discuss the case during the pendency of the proceeding. The
respondents will be permitted to remain in the hearing. The petitioner may
designate a person, who may also be a witness, to act as its representative.
Such a representative will be permitted to remain in the hearing.

(e) Any preliminary motions, stipulations or orders
upon which the parties agree will be heard and any administrative details will
be addressed.

(f) The petitioner and then the respondent may make
opening statements.

(g) The petitioner may call witnesses and present
evidence. Each witness will be sworn and questioned in the following manner:

(1) The petitioner will question the witness.

(2) The respondent may cross-examine the
witness.

(3) If the respondent cross-examines the
witness, the petitioner may question the witness on redirect examination.

(4) If the petitioner questions the witness on
redirect examination, the respondent may recross-examine the witness.

(5) After the petitioner and respondent
complete the questioning pursuant to subparagraphs (1) to (4), inclusive, the
members of the Board or hearing officer may question the witness.

(6) If the witness is questioned by the
members of the Board or the hearing officer, the petitioner and then the
respondent may question the witness. Questions asked by the petitioner and
respondent may question the witness. Questions asked by the petitioner and
respondent will be limited to those areas addressed by the questions asked by
the members of the Board or hearing officer.

(h) The respondent may call witnesses and present
evidence. Each witness will be sworn in and questioned in the following manner:

(1) The respondent will question the witness.

(2) The petitioner may cross-examine the
witness.

(3) If the petitioner cross-examines the
witness, the respondent may question the witness on redirect examination.

(4) If the respondent questions the witness on
redirect examination, the petitioner may recross-examine the witness.

(5) After the respondent and petitioner
complete the questioning pursuant to subparagraphs (1) to (4), inclusive, the
members of the Board or hearing officer may question the witness.

(6) If the witness is questioned by the
members of the Board or the hearing officer, the respondent and then the
petitioner may question the witness. Questions asked by the respondent and
petitioner will be limited to those areas addressed by the questions asked by
the members of the Board or hearing officer.

(i) The petitioner and respondent may be allowed to
call appropriate rebuttal and rejoinder witnesses with examination of those
witnesses proceeding as set forth in paragraph (g) or (h), as appropriate.

(j) The petitioner may present a closing argument,
followed by the closing argument of the respondent and then the rebuttal
closing argument of the petitioner.

(k) The Board or the hearing officer may deliberate
the case.

2. The Board may waive any provision of this
section if necessary to expedite or ensure the fairness of the hearing.

3. Oral proceedings, or any part thereof,
will be transcribed at the request of any party at the expense of that party.

4. The petitioner has the burden of proof in
a contested case.

(Added to NAC by Bd. of Nursing, eff. 11-6-95)

NAC 632.926Actions by Board; surrender of license. (NRS 632.120, 632.320, 632.325)Based on
the evidence presented at the hearing, the Board will do one of the following:

1. Dismiss or close the complaint.

2. Reprimand the licensee or holder of a
certificate.

3. Deny licensure or certification.

4. Deny renewal or reissuance of a license
or certificate.

5. Impose and collect an administrative
fine.

6. Accept the voluntary surrender of the
license or certificate in lieu of imposing any other disciplinary action set
forth in this section.

7. Suspend the license or certificate and
order its surrender.

8. Revoke the license or certificate and
order its surrender.

9. Enter an order of suspension or
revocation but stay the order for good cause subject to probation of a
designated period and issue a restricted license.

1. If the Board stays an order for
revocation or suspension of a license or certificate, subject to probation of a
designated period, the Board will determine such conditions as it considers
appropriate to regulate, monitor or supervise, or any combination thereof, the
practice of the licensee or holder of a certificate during the period of
probation. These terms may include, but are not limited to, the following:

(a) Informing the Board of the name and address of
his or her employer.

(b) Evaluations of his or her performance submitted
to the Board by the employer at designated intervals.

(c) Counseling with a qualified professional
counselor.

(d) Reports submitted to the Board by the counselor
at designated intervals.

(e) Submitting self-evaluation reports at
designated intervals.

(f) Reports of random screening for alcohol or
drugs submitted, at designated intervals.

(g) Meeting with the professional staff of the
Board, at designated intervals.

(h) Working under supervision as approved by the
professional staff of the Board.

(i) Successfully completing any educational courses
required by the Board.

2. Before expiration of the period of
probation, the file and reports concerning the licensee or holder of a
certificate may be reviewed and evaluated by the Board and action may be taken
to reinstate the license or certificate. If at any time the Board determines
that the terms of probation are violated or that the progress and performance
under the probation are unsatisfactory, the period of probation may be extended
summarily, the terms of probation may be modified or the order of suspension or
revocation may be invoked summarily.

3. The licensee or holder of a certificate
shall pay the cost to comply with the terms of his or her probation required by
the Board pursuant to this section.

1. Within 10 days after receipt of an order
of the Board, a person may request, by certified letter, a reconsideration or
rehearing based on the following grounds:

(a) Newly discovered or available relevant
evidence.

(b) Error in the proceeding or decision of the
Board that would be grounds for reversal or judicial review of the order.

(c) The need in the public interest for further
consideration of the issues and the evidence.

2. The Board will deny the request, order a
rehearing or reconsideration or direct such other proceeding as it considers
appropriate.

3. The hearing will be confined to those
grounds upon which reconsideration or the rehearing was ordered.

(Added to NAC by Bd. of Nursing, eff. 8-5-86)

NAC 632.929Reissuance of license or certificate: Period during which
licensee or certificate holder may not apply for reissuance; requirements for
reissuance. (NRS
632.120, 632.330)

1. The Board will, in each order of
revocation it issues, prescribe a period during which a licensee or holder of a
certificate may not apply for the reissuance of his or her license or
certificate. The period will not be less than 1 year or more than 20 years.

2. An applicant for reissuance of a license
or certificate must:

(a) Submit an application for reissuance on a form
provided by the Board;

(b) If he or she is applying for reissuance of a
license, satisfy all requirements for renewal of a license;

(c) If he or she is applying for reissuance of a
certificate, satisfy all requirements for renewal of a certificate;

(d) Attest that he or she has not, during the
period of revocation of the license or certificate, violated any state or
federal statute or regulation governing the practice of nursing or the practice
of a nursing assistant or medication aide - certified; and

(e) Attest that there is no disciplinary action
pending against him or her before any board or other regulatory body having
jurisdiction over the practice of nursing or the practice of a nursing
assistant or medication aide - certified.

3. The Board may designate requirements in
addition to the requirements of subsection 2 that must be satisfied before an
applicant will be considered for reissuance of a license or certificate,
including, without limitation, completion of additional courses or programs.

4. The Executive Director of the Board or a
person designated by the Executive Director:

(a) May review an application for reissuance of a
license or certificate to determine whether the application satisfies the
requirements of this section.

(b) May deny an application which he or she
determines does not satisfy the requirements.

5. In considering the reissuance of a
license or certificate which has been revoked, the Board will evaluate:

(a) The severity of the act which resulted in
revocation of the license or certificate;

(b) The conduct of the applicant after the
revocation of the license or certificate;

(c) The lapse of time since revocation;

(d) The degree of compliance with all conditions
the Board may have stipulated as a prerequisite for reissuance of the license
or certificate;

(e) The degree of rehabilitation attained by the
applicant as evidenced by statements to the Board from qualified people who
have professional knowledge of the applicant; and

(f) The truthfulness of the attestations made by
the applicant pursuant to subsection 2.

6. An applicant for reissuance of a license
or certificate may be requested to appear before the Board.

7. After evaluation, the Board will deny or
grant the reissuance of the license or certificate.

(Added to NAC by Bd. of Nursing, eff. 8-5-86; A 5-9-96;
R112-11, 2-15-2012)

NAC 632.930Reporting of disciplinary action or denial of application for
license or certificate. (NRS 632.120)

1. The Board may report any disciplinary
action it takes against a licensee or holder of a certificate to:

(a) Any national repository which records
disciplinary action taken against licensees or holders of certificates; or

(b) Any agency of another state which regulates the
practice of nursing.

2. The Board may report its denial of an
application for a license or certificate and any other disciplinary action the
Board takes against an applicant for a license or certificate to:

(a) Any national repository which records
disciplinary action taken against licensees or holders of certificates; or

(b) Any agency of another state which regulates the
practice of nursing.

(Added to NAC by Bd. of Nursing, eff. 11-6-95; A by
R122-01, 12-17-2001)

1. A person requesting an advisory opinion,
a declaratory order or a practice decision of the Board shall submit the
request to the Executive Director. Nine typewritten, double-spaced copies of
the request must be submitted and signed by the person. The request must state
clearly the facts involved and the question to which the Board is requested to
reply.

2. Before issuing an opinion, order or
decision, an informal or formal hearing may be scheduled on the question raised
in the petition.

3. A violation of an advisory opinion, a
declaratory order or a practice decision:

(a) Is cause for an informal hearing by the Board
to determine the applicability of the statutes to the conduct at issue.

(b) Constitutes a violation of the statutes or the
regulations of the Board, and is cause for a formal disciplinary hearing.

1. Before the Board issues a citation
pursuant to NRS 632.495, the
Board will investigate the alleged violation of NRS 632.315 and make a
determination, based upon substantial evidence, whether a violation of NRS 632.315 has occurred.

2. A citation may be served on a person:

(a) By sending a copy of the citation by registered
or certified mail, return receipt requested, to the person’s last known
address; or

(b) Personally by the Executive Director of the
Board or the Executive Director’s designee.

3. A citation which assesses an
administrative fine must be paid by a cashier’s check or money order made
payable to the Board.

4. A person served with a citation which
assesses an administrative fine may submit a written request to the Office of
the Board for approval of a payment schedule. Within the discretion of the
Board, the staff of the Board may establish such a schedule.

5. If the Board grants an appeal pursuant to
subsection 2 of NRS 632.495, the
Board may schedule a hearing on the appeal at the next scheduled meeting of the
Board. The Board will send written notice to the person requesting an appeal of
the time and place of the hearing. The notice will be sent by registered or
certified mail, return receipt requested, to the person’s last known address.

(Added to NAC by Bd. of Nursing, eff. 5-9-96)

NAC 632.940Violation of statutes or regulations. (NRS 632.120)Any
alleged violation of the statutes or regulations must be brought to the
attention of the Executive Director or his or her designee.